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Anterior ASIS Pad for TLSO (Low Profile)

New Jersey 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 New Jersey, 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 $30.90 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$48.98$39.81 to $57.54
FacilityA hospital or hospital-owned outpatient department$30.90$27.54 to $61.66

How much rates vary

Facilitymedian $31 · 10th to 90th $28 to $83Professionalmedian $49 · 10th to 90th $32 to $81
$50.0$100.0$200.0facility $31professional $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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$79.43

Where New Jersey 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.

New Jersey $48.98 · 34th 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.