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Anterior ASIS Pad for TLSO (Low Profile)

New York 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?

$51.29

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $51.29 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 9 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$51.29$45.71 to $67.61
FacilityA hospital or hospital-owned outpatient department$51.29$35.48 to $85.11

How much rates vary

Facilitymedian $51 · 10th to 90th $35 to $138Professionalmedian $51 · 10th to 90th $35 to $126
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $51professional $51

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
$46.77
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$141.25
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$67.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$158.49
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$52.48
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$47.86
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$141.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$48.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$52.48

Where New York 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 York $51.29 · 30th 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.