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See a sample rate comparisonHCPCS L1270 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Low-profile Additions, Thoracic-lumbar-sacral Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L1270 |
National average reimbursement for HCPCS L1270 by major payers:
$83.24
$53.52
$60.12
$117.97
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HCPCS L1270
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$188.08Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$72.81Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$55.58Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$48.36Published rateAlicia Encinas
Miguel A Arenas Md PC
$29.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L1270 vs. Other Low-profile Additions, Thoracic-lumbar-sacral Orthotics Codes
The HCPCS L1270 code is part of the Orthotic Procedures and services services used for Low-profile Additions, Thoracic-lumbar-sacral Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L1270 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L1260-HCPCS | Low | Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic derotation pad |
| L1270-HCPCS | Low | Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad |
| L1280-HCPCS | Low | Addition to Thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1270 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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