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Lumbar Derotation Pad for TLSO (Low Profile)

Oregon 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?

$74.13

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $87.10 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 8 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$70.79$52.48 to $91.20
FacilityA hospital or hospital-owned outpatient department$87.10$74.13 to $93.33

How much rates vary

Facilitymedian $87 · 10th to 90th $71 to $93Professionalmedian $71 · 10th to 90th $44 to $105
$50$100$200$500facility $87professional $71

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
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$75.86
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
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$95.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$104.71
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$93.33
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$102.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$363.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$48.98
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$83.18

Where Oregon 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.

Oregon· 11th of 51

$74.13

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.