go back

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.

Facilitymedian $49 · 10th–90th $43$1150%20%10th90th$49Professionalmedian $56 · 10th–90th $36$830%20%10th90th$56$20.0$50.0$100.0$200.0$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
$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