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Anterior ASIS Pad for TLSO (Low Profile)

Hawaii 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?

$112

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $48.98 to $112.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52 · 10th to 90th $40 to $87Professionalmedian $112 · 10th to 90th $28 to $117
$50.0$100.0$200.0facility $52professional $112

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
$27.54
Median
$27.54
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$138.04
HMSA
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$138.04

Where Hawaii 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.

Hawaii $112 · 1st 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.