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Lumbar Derotation Pad for TLSO (Low Profile)

Delaware rates for HCPCS L1240

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $0$630%20%10th90th$56Professionalmedian $45 · 10th–90th $40$4470%50%10th90th$45$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$446.68
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
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$48.98
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$74.13