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Anterior ASIS Pad for TLSO (Low Profile)

Missouri 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 Missouri, 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 $66.07 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$48.98$44.67 to $58.88
FacilityA hospital or hospital-owned outpatient department$66.07$48.98 to $83.18

How much rates vary

Facilitymedian $66 · 10th to 90th $43 to $141Professionalmedian $49 · 10th to 90th $41 to $98
$0.1$1.0$10.0$100.0facility $66professional $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
$42.66
Median
$42.66
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$45.71
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$72.44

Where Missouri 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.

Missouri $48.98 · 32nd 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.