go back

Anterior Thoracic Extension for TLSO (Low Profile)

Montana 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?

$234

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $257 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 6 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$209$132 to $257
FacilityA hospital or hospital-owned outpatient department$257$214 to $275

How much rates vary

Facilitymedian $257 · 10th to 90th $174 to $331Professionalmedian $209 · 10th to 90th $81 to $501
$100$200$500$1Kfacility $257professional $209

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
$81.28
Median
$151.36
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$501.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$190.55

Where Montana 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.

Montana· 9th of 51

$234

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.