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Anterior ASIS Pad for TLSO (Low Profile)

Indiana 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?

$48.98

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 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 5 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$48.98$46.77 to $54.95
FacilityA hospital or hospital-owned outpatient department$97.72$48.98 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $47 to $110Professionalmedian $49 · 10th to 90th $42 to $76
$50$100$200facility $98professional $49

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$162.18
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
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$46.77
Typical High
$67.61

Where Indiana 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.

Indiana· 39th of 51

$48.98

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.