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Anterior Thoracic Extension for TLSO (Low Profile)

Vermont 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?

$141

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $123 to $204.

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.

How much rates vary

Facilitymedian $166 · 10th to 90th $93 to $186Professionalmedian $141 · 10th to 90th $123 to $209
$100$200$500facility $166professional $141

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
$123.03
Median
$123.03
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$186.21
Typical High
$501.19

Where Vermont 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.

Vermont· 41st of 51

$141

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.