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Lumbar Derotation Pad for TLSO (Low Profile)

Vermont rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Rates data updated October 2026.

How much does Lumbar Derotation Pad for TLSO (Low Profile) cost?

$54.95

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $45.71 to $75.86.

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.

How much rates vary

Facilitymedian $63 · 10th to 90th $56 to $69Professionalmedian $47 · 10th to 90th $46 to $79
$50$100$200facility $63professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$56.23
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$93.33
United
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$70.79
Typical High
$190.55

Where Vermont sits

The same service costs 3.2 times more in Hawaii than in New Jersey. 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.

Vermont· 30th of 51

$54.95

HI $148NJ $45.71

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.