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Anterior Thoracic Derotation Pad for TLSO (Low Profile)

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $102 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 8 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$51.29$48.98 to $64.57
FacilityA hospital or hospital-owned outpatient department$102$66.07 to $102

How much rates vary

Facilitymedian $102 · 10th to 90th $49 to $126Professionalmedian $51 · 10th to 90th $41 to $98
$50$200$1K$5Kfacility $102professional $51

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
$40.74
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$107.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$61.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$125.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$295.12
Sentara
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$79.43

Where Virginia 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.

Virginia· 38th 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.