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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

Utah 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?

$51.29

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $42.66 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$52.48$38.90 to $87.10
FacilityA hospital or hospital-owned outpatient department$42.66$27.54 to $85.11

How much rates vary

Facilitymedian $43 · 10th to 90th $28 to $85Professionalmedian $52 · 10th to 90th $28 to $437
$50$100$200facility $43professional $52

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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$436.52
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
$51.29
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$81.28
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$102.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$91.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$42.66
Typical High
$64.57

Where Utah 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.

Utah· 40th of 51

$51.29

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.