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Lumbar Derotation Pad for TLSO (Low Profile)

New Mexico rates for HCPCS L1240

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

Rates data updated October 2026.

How much does Lumbar Derotation Pad for TLSO (Low Profile) cost?

$70.79

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $63.10 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$46.77 to $89.13
FacilityA hospital or hospital-owned outpatient department$63.10$28.18 to $67.61

How much rates vary

Facilitymedian $63 · 10th to 90th $28 to $72Professionalmedian $71 · 10th to 90th $44 to $123
$50$100$200facility $63professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$70.79
Typical High
$70.79
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$75.86
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Molina
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$208.93
Providence
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$63.10
Typical High
$72.44
Providence
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$43.65
Typical High
$66.07

Where New Mexico sits

The same service costs 3.2 times more in Hawaii than in New Jersey. 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 Mexico· 20th of 51

$70.79

HI $148NJ $45.71

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.