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Anterior ASIS Pad for TLSO (Low Profile)

Georgia 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?

$57.54

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $110 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$57.54$51.29 to $91.20
FacilityA hospital or hospital-owned outpatient department$110$51.29 to $155

How much rates vary

Facilitymedian $110 · 10th to 90th $46 to $407Professionalmedian $58 · 10th to 90th $45 to $107
$50$100$200facility $110professional $58

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
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$263.03
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$97.72

Where Georgia 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.

Georgia· 17th of 51

$57.54

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.