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Lumbar Derotation Pad for TLSO (Low Profile)

Nebraska 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?

$43.65

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $89.13 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$43.65$43.65 to $52.48
FacilityA hospital or hospital-owned outpatient department$89.13$57.54 to $100

How much rates vary

Facilitymedian $89 · 10th to 90th $44 to $468Professionalmedian $44 · 10th to 90th $35 to $72
$50$100$200$500facility $89professional $44

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
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$234.42
Midlands
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$218.78
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$43.65
Typical High
$69.18

Where Nebraska 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.

Nebraska· 50th of 51

$43.65

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.