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Anterior ASIS Pad for TLSO (Low Profile)

Iowa 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?

$53.70

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $70.79 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 7 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$52.48$48.98 to $95.50
FacilityA hospital or hospital-owned outpatient department$70.79$51.29 to $129

How much rates vary

Facilitymedian $71 · 10th to 90th $42 to $229Professionalmedian $52 · 10th to 90th $40 to $110
$0.1$1.0$10.0$100.0facility $71professional $52

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
$42.66
Median
$58.88
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$134.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$125.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$67.61
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$95.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$81.28

Where Iowa 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.

Iowa $53.70 · 22nd 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.