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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 October 2026.

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

$44.67

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $61.66 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$44.67$35.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$61.66$41.69 to $61.66

How much rates vary

Facilitymedian $62 · 10th to 90th $42 to $83Professionalmedian $45 · 10th to 90th $28 to $83
$50$100facility $62professional $45

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$39.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$13.80
Typical High
$19.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.50
Median
$5.50
Typical High
$7.94
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.17
Median
$4.17
Typical High
$6.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.75
Median
$2.75
Typical High
$3.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$93.33
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$43.65
Typical High
$79.43

Where New Jersey 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.

New Jersey· 49th of 51

$44.67

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.