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Lumbar Derotation Pad for TLSO (Low Profile)

Tennessee 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?

$52.48

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 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 5 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$52.48$48.98 to $57.54
FacilityA hospital or hospital-owned outpatient department$87.10$53.70 to $562

How much rates vary

Facilitymedian $87 · 10th to 90th $44 to $562Professionalmedian $52 · 10th to 90th $44 to $93
$50$100$200$500facility $87professional $52

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
$50.12
Median
$53.70
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$66.07

Where Tennessee 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.

Tennessee· 34th of 51

$52.48

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.