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Anterior ASIS Pad for TLSO (Low Profile)

South Carolina 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?

$53.70

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $61.66 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$53.70$51.29 to $77.62
FacilityA hospital or hospital-owned outpatient department$61.66$53.70 to $97.72

How much rates vary

Facilitymedian $62 · 10th to 90th $48 to $135Professionalmedian $54 · 10th to 90th $37 to $95
$50$100$200facility $62professional $54

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
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$109.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$58.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$158.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$67.61

Where South Carolina sits

The same service costs 2.8 times more in Hawaii than in Washington, DC. 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.

South Carolina· 23rd of 51

$53.70

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.