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Lateral Trochanteric Pad for TLSO (Low Profile)

Alaska rates for HCPCS L1290

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

Rates data updated July 2026.

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

$60.26

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $53.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$50.12 to $209
FacilityA hospital or hospital-owned outpatient department$53.70$28.84 to $126

How much rates vary

Facilitymedian $54 · 10th to 90th $29 to $209Professionalmedian $68 · 10th to 90th $47 to $295
$50$100$200$500facility $54professional $68

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. 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
$53.70
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$79.43
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$218.78
Typical High
$331.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$218.78
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$107.15
Typical High
$537.03

Where Alaska sits

The same service costs 6.2 times more in Hawaii than in Washington, DC. 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.

Alaska· 16th of 51

$60.26

HI $234DC $38.02

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.