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Anterior Thoracic Extension for TLSO (Low Profile)

West Virginia 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?

$138

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $145 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$135 to $145
FacilityA hospital or hospital-owned outpatient department$145$145 to $162

How much rates vary

Facilitymedian $145 · 10th to 90th $145 to $339Professionalmedian $138 · 10th to 90th $115 to $178
$100$200$500$1Kfacility $145professional $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
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$338.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$234.42

Where West Virginia 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.

West Virginia· 42nd of 51

$138

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.