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Anterior Thoracic Extension for TLSO (Low Profile)

New Jersey 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?

$145

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $112 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$145$129 to $209
FacilityA hospital or hospital-owned outpatient department$112$112 to $195

How much rates vary

Facilitymedian $112 · 10th to 90th $112 to $339Professionalmedian $145 · 10th to 90th $112 to $331
$100$200$500$1Kfacility $112professional $145

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$446.68
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$331.13

Where New Jersey 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.

New Jersey· 37th of 51

$145

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.