go back

Anterior ASIS Pad for TLSO (Low Profile)

West Virginia rates for HCPCS L1250

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad

Rates data updated October 2026.

How much does Anterior ASIS Pad for TLSO (Low Profile) cost?

$50.12

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $61.66 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$45.71 to $63.10
FacilityA hospital or hospital-owned outpatient department$61.66$61.66 to $93.33

How much rates vary

Facilitymedian $62 · 10th to 90th $46 to $151Professionalmedian $50 · 10th to 90th $45 to $110
$50$100$200$500facility $62professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$47.86
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
CareSource
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
CareSource
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$457.09
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$93.33
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$54.95
Typical High
$109.65

Where West Virginia sits

The same service costs 2.5 times more in Hawaii than in Arizona. 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.

West Virginia· 41st of 51

$50.12

HI $112AZ $44.67

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.