go back

Lumbar Derotation Pad for TLSO (Low Profile)

Maine 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?

$57.54

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $100 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$56.23$52.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$100$63.10 to $112

How much rates vary

Facilitymedian $100 · 10th to 90th $55 to $120Professionalmedian $56 · 10th to 90th $42 to $83
$50$100$200facility $100professional $56

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$54.95
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$83.18

Where Maine 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.

Maine· 21st of 51

$57.54

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.