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Anterior ASIS Pad for TLSO (Low Profile)

Florida rates for HCPCS L1250

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

Rates data updated October 2026.

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

$47.86

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $110 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$44.67 to $57.54
FacilityA hospital or hospital-owned outpatient department$110$61.66 to $204

How much rates vary

Facilitymedian $110 · 10th to 90th $46 to $204Professionalmedian $47 · 10th to 90th $32 to $110
$50$100$200facility $110professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$48.98
Typical High
$57.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.39
Median
$24.55
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.91
Median
$9.77
Typical High
$11.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.76
Median
$7.41
Typical High
$8.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$4.90
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
AvMed
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
AvMed
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$102.33
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$109.65
Typical High
$109.65
Molina
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$32.36
Typical High
$35.48
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$58.88
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$109.65

Where Florida sits

The same service costs 2.5 times more in Hawaii than in Arizona. 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.

Florida· 45th of 51

$47.86

HI $112AZ $44.67

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.