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Lumbar Derotation Pad for TLSO (Low Profile)

Florida rates for HCPCS L1240

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

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $47$2090%20%10th90th$58Professionalmedian $54 · 10th–90th $45$950%20%10th90th$54$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
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$102.33
AvMed
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
AvMed
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$67.61
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$52.48
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$66.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$112.20