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Lumbar Derotation Pad for TLSO (Low Profile)

Arkansas rates for HCPCS L1240

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

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $52$891,2510%10%20%10th90th$380,189Professionalmedian $50 · 10th–90th $29$580%50%10th90th$50$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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$51.29
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$66.07