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Lumbar Derotation Pad for TLSO (Low Profile)

Mississippi rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Rates data updated July 2026.

Facilitymedian $85 · 10th–90th $49$1200%20%10th90th$85Professionalmedian $59 · 10th–90th $43$1050%10%20%10th90th$59$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$89.13
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$74.13