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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

Montana 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?

$83.18

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $83.18 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 6 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$75.86$42.66 to $89.13
FacilityA hospital or hospital-owned outpatient department$83.18$70.79 to $89.13

How much rates vary

Facilitymedian $83 · 10th to 90th $58 to $105Professionalmedian $76 · 10th to 90th $33 to $162
$50$100$200facility $83professional $76

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
Professional
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$162.18
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$107.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$64.57

Where Montana 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.

Montana· 5th of 51

$83.18

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.