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Anterior Thoracic Extension for TLSO (Low Profile)

Michigan 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?

$162

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $339 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 7 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$162$141 to $288
FacilityA hospital or hospital-owned outpatient department$339$162 to $759

How much rates vary

Facilitymedian $339 · 10th to 90th $148 to $1,148Professionalmedian $162 · 10th to 90th $126 to $288
$10$100$1Kfacility $339professional $162

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
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$870.96
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$309.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$549.54
Typical High
$616.60
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$354.81
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$234.42
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$204.17

Where Michigan 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.

Michigan· 17th of 51

$162

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.