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Anterior ASIS Pad for TLSO (Low Profile)

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $46.77 to $53.70.

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.

How much rates vary

Facilitymedian $46 · 10th to 90th $31 to $62Professionalmedian $51 · 10th to 90th $47 to $71
$50.0$100.0$200.0facility $46professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$61.66
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$190.55

Where Vermont 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.

Vermont $51.29 · 29th 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.