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Lumbar Derotation Pad for TLSO (Low Profile)

Alabama rates for HCPCS L1240

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

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $33$1120%20%10th90th$59Professionalmedian $55 · 10th–90th $46$1050%20%10th90th$55$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$69.18