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Anterior ASIS Pad for TLSO (Low Profile)

Oregon 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?

$67.61

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $83.18 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 8 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$64.57$48.98 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$67.61 to $85.11

How much rates vary

Facilitymedian $83 · 10th to 90th $65 to $85Professionalmedian $65 · 10th to 90th $41 to $95
$0.1$1.0$10.0$100.0$1.0Kfacility $83professional $65

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
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$66.07
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
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$181.97
Typical High
$218.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$95.50
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$85.11
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$102.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$91.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$41.69
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$40.74
Typical High
$77.62

Where Oregon 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.

Oregon $67.61 · 11th 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.