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Lumbar Derotation Pad for TLSO (Low Profile)

Iowa 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?

$58.88

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $75.86 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$58.88$52.48 to $100
FacilityA hospital or hospital-owned outpatient department$75.86$54.95 to $141

How much rates vary

Facilitymedian $76 · 10th to 90th $44 to $245Professionalmedian $59 · 10th to 90th $40 to $115
$50$100$200$500facility $76professional $59

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
$43.65
Median
$63.10
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$125.89
Typical High
$158.49
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$134.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$87.10

Where Iowa 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.

Iowa· 20th of 51

$58.88

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.