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Lumbar Derotation Pad for TLSO (Low Profile)

Oklahoma 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?

$53.70

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $48.98 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$56.23$44.67 to $83.18
FacilityA hospital or hospital-owned outpatient department$48.98$44.67 to $95.50

How much rates vary

Facilitymedian $49 · 10th to 90th $43 to $115Professionalmedian $56 · 10th to 90th $36 to $83
$50$100$200$500facility $49professional $56

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
$42.66
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$58.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$95.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$63.10

Where Oklahoma 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.

Oklahoma· 32nd of 51

$53.70

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.