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Anterior Thoracic Extension for TLSO (Low Profile)

New Mexico 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?

$170

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 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 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$170$141 to $229
FacilityA hospital or hospital-owned outpatient department$191$126 to $257

How much rates vary

Facilitymedian $191 · 10th to 90th $81 to $339Professionalmedian $170 · 10th to 90th $132 to $355
$100$200$500$1Kfacility $191professional $170

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$269.15
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
$134.90
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$630.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$208.93
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$186.21

Where New Mexico 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 Mexico· 15th of 51

$170

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.