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Anterior Thoracic Extension for TLSO (Low Profile)

Idaho rates for HCPCS L1220

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic extension

Rates data updated July 2026.

How much does Anterior Thoracic Extension for TLSO (Low Profile) cost?

$219

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$132 to $295
FacilityA hospital or hospital-owned outpatient department$282$214 to $295

How much rates vary

Facilitymedian $282 · 10th to 90th $145 to $447Professionalmedian $204 · 10th to 90th $115 to $339
$100$200$500facility $282professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$239.88
Typical High
$316.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$338.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$691.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$144.54
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$177.83

Where Idaho sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 10th of 51

$219

HI $417DC $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.