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 July 2026.

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

$58.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $97.72 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$54.95$48.98 to $74.13
FacilityA hospital or hospital-owned outpatient department$97.72$48.98 to $174

How much rates vary

Facilitymedian $98 · 10th to 90th $49 to $490Professionalmedian $55 · 10th to 90th $43 to $98
$0.1$1.0$10.0$100.0$1.0Kfacility $98professional $55

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
$48.98
Median
$48.98
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$138.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$83.18

Where Illinois 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.

Illinois $58.88 · 15th 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.