go back

Anterior ASIS Pad for TLSO (Low Profile)

Illinois 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?

$61.66

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $132 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$47.86 to $74.13
FacilityA hospital or hospital-owned outpatient department$132$107 to $224

How much rates vary

Facilitymedian $132 · 10th to 90th $62 to $550Professionalmedian $62 · 10th to 90th $44 to $112
$50$100$200$500$1Kfacility $132professional $62

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
$48.98
Median
$48.98
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$69.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$24.55
Median
$24.55
Typical High
$34.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$13.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.41
Median
$7.41
Typical High
$10.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.90
Median
$4.90
Typical High
$6.92
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$162.18
Typical High
$660.69
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$74.13
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
Hally Health
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$100.00
Typical High
$134.90
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Molina
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$97.72
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$47.86
Typical High
$112.20

Where Illinois 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.

Illinois· 22nd of 51

$61.66

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.