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Abdominal Pad for TLSO (Low Profile)

Hawaii rates for HCPCS L1270

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

Rates data updated October 2026.

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

$166

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $115 to $174.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $65 to $129Professionalmedian $166 · 10th to 90th $102 to $178
$100$200facility $129professional $166

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
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
HMSA
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$165.96
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$177.83
Typical High
$177.83
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

Where Hawaii sits

The same service costs 3.5 times more in Hawaii than in New Jersey. 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.

Hawaii· 1st of 51

$166

HI $166NJ $46.77

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.