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Lumbar Derotation Pad for TLSO (Low Profile)

Kentucky 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?

$53.70

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $58.88 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$52.48$51.29 to $58.88
FacilityA hospital or hospital-owned outpatient department$58.88$56.23 to $117

How much rates vary

Facilitymedian $59 · 10th to 90th $40 to $151Professionalmedian $52 · 10th to 90th $47 to $69
$50$100$200$500facility $59professional $52

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
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$194.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$70.79

Where Kentucky 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.

Kentucky· 29th of 51

$53.70

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.