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Anterior ASIS Pad for TLSO (Low Profile)

Connecticut 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?

$46.77

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $61.66 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$41.69 to $53.70
FacilityA hospital or hospital-owned outpatient department$61.66$46.77 to $91.20

How much rates vary

Facilitymedian $62 · 10th to 90th $40 to $98Professionalmedian $46 · 10th to 90th $35 to $100
$50.0$100.0$200.0facility $62professional $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. Small sample; interpret with caution. 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
$45.71
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$95.50
Health New England
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$79.43

Where Connecticut 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.

Connecticut $46.77 · 41st 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.