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Lumbar Derotation Pad for TLSO (Low Profile)

North Carolina 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?

$85.11

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $95.50 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$85.11$54.95 to $95.50
FacilityA hospital or hospital-owned outpatient department$95.50$60.26 to $115

How much rates vary

Facilitymedian $95 · 10th to 90th $44 to $191Professionalmedian $85 · 10th to 90th $46 to $105
$50$100$200$500facility $95professional $85

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$95.50
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$69.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$47.86
Typical High
$64.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$95.50
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$74.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$660.69

Where North Carolina 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.

North Carolina· 6th of 51

$85.11

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.