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Anterior ASIS Pad for TLSO (Low Profile)

Alaska rates for HCPCS L1250

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad

Rates data updated July 2026.

How much does Anterior ASIS Pad for TLSO (Low Profile) cost?

$60.26

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $48.98 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 6 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$61.66$46.77 to $100
FacilityA hospital or hospital-owned outpatient department$48.98$26.30 to $93.33

How much rates vary

Facilitymedian $49 · 10th to 90th $26 to $100Professionalmedian $62 · 10th to 90th $43 to $141
$50$100$200facility $49professional $62

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
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$67.61
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$263.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$104.71
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$104.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$257.04

Where Alaska sits

The same service costs 2.8 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.

Alaska· 14th of 51

$60.26

HI $112DC $39.81

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.