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Anterior Thoracic Extension for TLSO (Low Profile)

Ohio 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 Ohio, 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 $295 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 8 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$141 to $195
FacilityA hospital or hospital-owned outpatient department$295$234 to $316

How much rates vary

Facilitymedian $295 · 10th to 90th $155 to $479Professionalmedian $155 · 10th to 90th $129 to $302
$100$200$500$1Kfacility $295professional $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
$154.88
Median
$199.53
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$302.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$204.17
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$251.19
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$234.42
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$204.17

Where Ohio 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.

Ohio· 21st 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.