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Anterior ASIS Pad for TLSO (Low Profile)

North Dakota 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?

$75.86

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $58.88 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$75.86$58.88 to $91.20
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $66.07

How much rates vary

Facilitymedian $59 · 10th to 90th $59 to $123Professionalmedian $76 · 10th to 90th $49 to $100
$50.0$100.0$200.0$500.0facility $59professional $76

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
$58.88
Median
$58.88
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$112.20

Where North Dakota 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 Dakota $75.86 · 8th 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.