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Lumbar Derotation Pad for TLSO (Low Profile)

Missouri 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?

$52.48

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $70.79 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$52.48$45.71 to $64.57
FacilityA hospital or hospital-owned outpatient department$70.79$52.48 to $89.13

How much rates vary

Facilitymedian $71 · 10th to 90th $46 to $148Professionalmedian $52 · 10th to 90th $43 to $105
$50$100$200$500facility $71professional $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
$45.71
Median
$45.71
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$43.65
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$79.43

Where Missouri 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.

Missouri· 38th of 51

$52.48

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.