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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

North Carolina 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?

$85.11

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $97.72 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$85.11$54.95 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$60.26 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $42 to $191Professionalmedian $85 · 10th to 90th $45 to $98
$50$100$200$500facility $98professional $85

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$97.72
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$75.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$66.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$97.72
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$74.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65

Where North Carolina 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.

North Carolina· 4th of 51

$85.11

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.