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Anterior Thoracic Extension for TLSO (Low Profile)

Nebraska 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?

$132

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $263 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$132$132 to $151
FacilityA hospital or hospital-owned outpatient department$263$166 to $288

How much rates vary

Facilitymedian $263 · 10th to 90th $126 to $1,349Professionalmedian $132 · 10th to 90th $129 to $214
$100$200$500$1Kfacility $263professional $132

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
$165.96
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$691.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$204.17

Where Nebraska 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.

Nebraska· 46th of 51

$132

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.