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Lumbar Derotation Pad for TLSO (Low Profile)

New Jersey 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 New Jersey, 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 $33.11 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 5 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$39.81 to $58.88
FacilityA hospital or hospital-owned outpatient department$33.11$30.20 to $63.10

How much rates vary

Facilitymedian $33 · 10th to 90th $30 to $89Professionalmedian $52 · 10th to 90th $35 to $89
$50$100$200$500facility $33professional $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
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$89.13

Where New Jersey 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.

New Jersey· 39th 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.