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Anterior ASIS Pad for TLSO (Low Profile)

Kansas 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?

$81.28

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $67.61 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$81.28$48.98 to $81.28
FacilityA hospital or hospital-owned outpatient department$67.61$58.88 to $77.62

How much rates vary

Facilitymedian $68 · 10th to 90th $26 to $89Professionalmedian $81 · 10th to 90th $43 to $81
$0.1$1.0$10.0$100.0facility $68professional $81

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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
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
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$56.23
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$58.88

Where Kansas 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.

Kansas $81.28 · 6th 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.