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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

New York 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?

$53.70

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $53.70 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 9 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$53.70$47.86 to $70.79
FacilityA hospital or hospital-owned outpatient department$53.70$37.15 to $89.13

How much rates vary

Facilitymedian $54 · 10th to 90th $35 to $145Professionalmedian $54 · 10th to 90th $37 to $129
$100$1K$10Kfacility $54professional $54

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
$28.84
Median
$47.86
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$147.91
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$70.79
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$72.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$165.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$54.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$144.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$51.29
Univera
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$54.95

Where New York 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.

New York· 27th of 51

$53.70

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.