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Abdominal Pad for TLSO (Low Profile)

Washington rates for HCPCS L1270

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

Rates data updated July 2026.

Facilitymedian $87 · 10th–90th $62$2040%20%10th90th$87Professionalmedian $72 · 10th–90th $47$1740%10%20%10th90th$72$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$501.19
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$87.10
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$64.57
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$74.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$87.10
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$100.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$173.78
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$85.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$117.49
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$134.90