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Anterior ASIS Pad for TLSO (Low Profile)

Nebraska 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?

$42.66

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $83.18 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$42.66$42.66 to $48.98
FacilityA hospital or hospital-owned outpatient department$83.18$52.48 to $93.33

How much rates vary

Facilitymedian $83 · 10th to 90th $41 to $437Professionalmedian $43 · 10th to 90th $32 to $68
$50$100$200facility $83professional $43

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$85.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$218.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$66.07
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$63.10

Where Nebraska sits

The same service costs 2.8 times more in Hawaii than in Washington, DC. 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.

Nebraska· 50th of 51

$42.66

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.