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Anterior ASIS Pad for TLSO (Low Profile)

Oklahoma 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?

$44.67

Typical negotiated rate. In Oklahoma, July 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 $45.71 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$44.67$41.69 to $53.70
FacilityA hospital or hospital-owned outpatient department$45.71$43.65 to $91.20

How much rates vary

Facilitymedian $46 · 10th to 90th $42 to $110Professionalmedian $45 · 10th to 90th $34 to $62
$20.0$50.0$100.0$200.0$500.0facility $46professional $45

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
$41.69
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$58.88

Where Oklahoma 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.

Oklahoma $44.67 · 47th 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.