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Anterior Thoracic Extension for TLSO (Low Profile)

New York 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?

$155

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $240 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 9 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$155$145 to $263
FacilityA hospital or hospital-owned outpatient department$240$145 to $339

How much rates vary

Facilitymedian $240 · 10th to 90th $135 to $513Professionalmedian $155 · 10th to 90th $117 to $479
$100$500$2K$10K$50Kfacility $240professional $155

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
$144.54
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$524.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$275.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$199.53
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$645.65
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$257.04
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$239.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$562.34
Univera
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$257.04
Univera
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$239.88

Where New York 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 York· 18th of 51

$155

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.