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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

Hawaii rates for HCPCS L1260

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

Rates data updated July 2026.

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

$123

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $67.61 to $123.

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 $55 · 10th to 90th $42 to $95Professionalmedian $123 · 10th to 90th $29 to $129
$50$100facility $55professional $123

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. 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
Global
Typical Low
$28.84
Median
$28.84
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$151.36
HMSA
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$151.36

Where Hawaii sits

The same service costs 3.0 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.

Hawaii· 1st of 51

$123

HI $123DC $40.74

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.