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Anterior ASIS Pad for TLSO (Low Profile)

Arizona 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?

$48.98

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $79.43 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$45.71$38.90 to $57.54
FacilityA hospital or hospital-owned outpatient department$79.43$39.81 to $126

How much rates vary

Facilitymedian $79 · 10th to 90th $26 to $195Professionalmedian $46 · 10th to 90th $35 to $98
$0.1$1.0$10.0$100.0facility $79professional $46

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
$35.48
Median
$47.86
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$104.71
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$194.98
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
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$64.57
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$75.86
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$61.66

Where Arizona sits

The same service costs 2.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $48.98 · 36th of 51
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.