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Lumbar Derotation Pad for TLSO (Low Profile)

Nevada rates for HCPCS L1240

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

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $40$1200%50%90th$40Professionalmedian $46 · 10th–90th $40$1620%20%10th90th$46$1.0$5.0$20.0$100.0$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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$77.62
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$43.65
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$63.10
Typical High
$131.83