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Anterior Thoracic Extension for TLSO (Low Profile)

North Dakota 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?

$240

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $191 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 5 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$245$191 to $288
FacilityA hospital or hospital-owned outpatient department$191$191 to $200

How much rates vary

Facilitymedian $191 · 10th to 90th $191 to $389Professionalmedian $245 · 10th to 90th $151 to $316
$100$200$500$1Kfacility $191professional $245

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
$190.55
Median
$190.55
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$338.84

Where North Dakota 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.

North Dakota· 6th of 51

$240

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.