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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

South Dakota 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?

$79.43

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $87.10 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$79.43$58.88 to $115
FacilityA hospital or hospital-owned outpatient department$87.10$70.79 to $97.72

How much rates vary

Facilitymedian $87 · 10th to 90th $59 to $135Professionalmedian $79 · 10th to 90th $54 to $166
$50$100$200$500facility $87professional $79

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
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$93.33
Midlands
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$151.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where South Dakota 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.

South Dakota· 10th of 51

$79.43

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.