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Lumbar Derotation Pad for TLSO (Low Profile)

Illinois 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 Illinois, 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 6 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$56.23 to $85.11
FacilityA hospital or hospital-owned outpatient department$112$56.23 to $200

How much rates vary

Facilitymedian $112 · 10th to 90th $56 to $562Professionalmedian $63 · 10th to 90th $46 to $112
$50$100$200$500$1Kfacility $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
$56.23
Median
$56.23
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$112.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$154.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$91.20

Where Illinois 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.

Illinois· 15th 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.