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Abdominal Pad for TLSO (Low Profile)

South Dakota 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?

$87.10

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $100 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$57.54 to $95.50
FacilityA hospital or hospital-owned outpatient department$100$79.43 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $60 to $162Professionalmedian $87 · 10th to 90th $40 to $115
$50$100$200$500facility $100professional $87

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
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$114.82
Typical High
$144.54
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$100.00
Typical High
$162.18
Medica
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$56.23
Typical High
$676.08
Midlands
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Midlands
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$154.88
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$87.10
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$47.86
Typical High
$72.44
Wellmark
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where South Dakota 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.

South Dakota· 7th of 51

$87.10

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.