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Anterior ASIS Pad for TLSO (Low Profile)

Michigan 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?

$54.95

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $110 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$54.95$47.86 to $95.50
FacilityA hospital or hospital-owned outpatient department$110$54.95 to $251

How much rates vary

Facilitymedian $110 · 10th to 90th $46 to $389Professionalmedian $55 · 10th to 90th $45 to $95
$0.1$1.0$10.0$100.0$1.0Kfacility $110professional $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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$181.97
Typical High
$204.17
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$117.49
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$77.62
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$67.61

Where Michigan 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.

Michigan $54.95 · 20th 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.