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Anterior ASIS Pad for TLSO (Low Profile)

Mississippi rates for HCPCS L1250

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad

Rates data updated October 2026.

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

$61.66

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $83.18 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$47.86 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$64.57 to $83.18

How much rates vary

Facilitymedian $83 · 10th to 90th $62 to $83Professionalmedian $59 · 10th to 90th $45 to $98
$50$100facility $83professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$64.57
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$32.36
Typical High
$48.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$12.88
Typical High
$19.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.71
Median
$9.55
Typical High
$14.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$6.46
Typical High
$9.77
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$51.29
Typical High
$61.66

Where Mississippi sits

The same service costs 2.5 times more in Hawaii than in Arizona. 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.

Mississippi· 21st of 51

$61.66

HI $112AZ $44.67

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.