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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 October 2026.

How much does Lumbar Derotation Pad for TLSO (Low Profile) cost?

$52.48

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $112 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$45.71 to $57.54
FacilityA hospital or hospital-owned outpatient department$112$63.10 to $209

How much rates vary

Facilitymedian $112 · 10th to 90th $59 to $209Professionalmedian $52 · 10th to 90th $46 to $112
$50$100$200facility $112professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$50.12
Typical High
$57.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$25.12
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$10.00
Typical High
$11.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$7.59
Typical High
$8.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$5.01
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
AvMed
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
AvMed
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$104.71
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$52.48
Typical High
$57.54
United
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$53.70
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$112.20

Where Florida sits

The same service costs 3.2 times more in Hawaii than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 44th of 51

$52.48

HI $148NJ $45.71

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.