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Anterior ASIS Pad for TLSO (Low Profile)

New Mexico 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?

$54.95

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $63.10 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$54.95$44.67 to $72.44
FacilityA hospital or hospital-owned outpatient department$63.10$40.74 to $79.43

How much rates vary

Facilitymedian $63 · 10th to 90th $26 to $95Professionalmedian $55 · 10th to 90th $37 to $117
$50.0$100.0$200.0facility $63professional $55

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$66.07
Typical High
$95.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$61.66

Where New Mexico 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 Mexico $54.95 · 19th 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.