search again

Lumbar Derotation Pad for TLSO (Low Profile)

Nationwide rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $42$2340%20%10th90th$74Professionalmedian $56 · 10th–90th $41$1120%50%10th90th$56$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$91.20