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Anterior Thoracic Extension for TLSO (Low Profile)

Rhode Island 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?

$148

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $417 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 4 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$138$120 to $162
FacilityA hospital or hospital-owned outpatient department$417$186 to $525

How much rates vary

Facilitymedian $417 · 10th to 90th $145 to $575Professionalmedian $138 · 10th to 90th $110 to $178
$100$200$500$1Kfacility $417professional $138

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$208.93

Where Rhode Island 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.

Rhode Island· 33rd of 51

$148

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.