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Lumbar Derotation Pad for TLSO (Low Profile)

Idaho 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?

$66.07

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $89.13 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 8 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$45.71 to $91.20
FacilityA hospital or hospital-owned outpatient department$89.13$66.07 to $95.50

How much rates vary

Facilitymedian $89 · 10th to 90th $50 to $120Professionalmedian $63 · 10th to 90th $40 to $105
$50$100$200facility $89professional $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
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$81.28
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$104.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$50.12
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$43.65
Typical High
$63.10

Where Idaho 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.

Idaho· 12th of 51

$66.07

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.