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Lumbar Derotation Pad for TLSO (Low Profile)

Georgia rates for HCPCS L1240

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

Rates data updated July 2026.

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

$63.10

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $112 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$52.48 to $91.20
FacilityA hospital or hospital-owned outpatient department$112$52.48 to $257

How much rates vary

Facilitymedian $112 · 10th to 90th $52 to $417Professionalmedian $63 · 10th to 90th $46 to $107
$50$100$200facility $112professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
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
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$107.15

Where Georgia sits

The same service costs 3.7 times more in Hawaii than in Washington, DC. 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.

Georgia· 16th of 51

$63.10

HI $148DC $39.81

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.