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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

Michigan 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?

$64.57

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $166 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 7 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$64.57$51.29 to $115
FacilityA hospital or hospital-owned outpatient department$166$115 to $195

How much rates vary

Facilitymedian $166 · 10th to 90th $65 to $339Professionalmedian $65 · 10th to 90th $46 to $115
$50$100$200$500$1Kfacility $166professional $65

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
$64.57
Median
$158.49
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$338.84
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$104.71
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$213.80
Typical High
$239.88
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$138.04
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$93.33
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$53.70
Typical High
$75.86

Where Michigan 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.

Michigan· 15th of 51

$64.57

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.