go back

Anterior ASIS Pad for TLSO (Low Profile)

Arkansas rates for HCPCS L1250

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

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $51$891,2510%10%20%10th90th$380,189Professionalmedian $49 · 10th–90th $27$580%50%10th90th$49$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$61.66