Spinal brace addition: low-profile lateral thoracic extension

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Addition,to Tlso Lateral Thoracic Extension E/ 9+ Parameters < L1210

Payers reporting HCPCS L1210

Payer pricing summary

Low

$104

Average

$402

Median

$369

High

$848

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	365	$307	$338	$163	48%	—	$1 – $1.7k
2	Aetna fee schedule · outpatient · +16 other terms	361	$308	$376	$190	51%	—	$150 – $2.4k
3	Humana fee schedule · outpatient · +16 other terms	319	$311	$467	$484	104%	—	$154 – $2.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	219	$307	$424	$240	57%	—	$0 – $1.5k
5	WellCare fee schedule · outpatient · +7 other terms	208	$310	$331	$86	26%	—	$290 – $782
6	Devoted fee schedule · outpatient · +4 other terms	165	$301	$313	$30	10%	—	$301 – $409
7	Molina fee schedule · outpatient · +8 other terms	144	$440	$422	$162	38%	—	$191 – $801
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$313	$314	$27	9%	—	$301 – $413
9	Cigna fee schedule · outpatient · +14 other terms	109	$325	$412	$203	49%	—	$258 – $1.2k
10	Anthem fee schedule · outpatient · +12 other terms	85	$393	$582	$501	86%	—	$180 – $2.3k
11	Kaiser fee schedule · outpatient · +7 other terms	69	$409	$595	$347	58%	—	$301 – $2.2k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$541	$565	$124	22%	—	$218 – $752
13	Superior Healthplan fee schedule · outpatient	40	$316	$316	$2	0%	—	$295 – $316
14	Clover fee schedule · outpatient · +3 other terms	37	$393	$352	$41	12%	—	$301 – $401
15	Oscar fee schedule · outpatient · +6 other terms	36	$316	$368	$122	33%	—	$295 – $682
16	Optum fee schedule · outpatient · +4 other terms	33	$385	$421	$146	35%	—	$290 – $752
17	Caresource fee schedule · outpatient · +5 other terms	29	$301	$314	$91	29%	—	$164 – $465
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$308	$289	$79	27%	—	$100 – $501
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$417	$377	$66	17%	—	$251 – $425
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$361	$352	$17	5%	—	$307 – $361
21	Bcbs Tx fee schedule · outpatient	18	$295	$295	—	—	—	$295 – $295
22	Medicare fee schedule · outpatient · +3 other terms	18	$385	$387	$3	1%	—	$385 – $393
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$301	$334	$46	14%	—	$295 – $401
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$301	$348	$86	25%	—	$164 – $475
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$552	$557	$243	44%	—	$289 – $1.1k

Page 1 of 3 · 53 payers