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Lumbar Derotation Pad for TLSO (Low Profile)

Virginia 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 Virginia, 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 $100 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$52.48$47.86 to $64.57
FacilityA hospital or hospital-owned outpatient department$100$64.57 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $48 to $126Professionalmedian $52 · 10th to 90th $40 to $95
$50$200$1K$5Kfacility $100professional $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
$39.81
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$97.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$123.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$288.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$77.62

Where Virginia 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.

Virginia· 33rd 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.