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Anterior ASIS Pad for TLSO (Low Profile)

North Carolina 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?

$83.18

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $95.50 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$83.18$51.29 to $95.50
FacilityA hospital or hospital-owned outpatient department$95.50$57.54 to $115

How much rates vary

Facilitymedian $95 · 10th to 90th $40 to $178Professionalmedian $83 · 10th to 90th $43 to $95
$0.1$1.0$10.0$100.0$1.0Kfacility $95professional $83

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$95.50
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$64.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$95.50
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$72.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$616.60

Where North Carolina 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.

North Carolina $83.18 · 4th 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.