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Lateral Trochanteric Pad for TLSO (Low Profile)

Arizona 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?

$50.12

Typical negotiated rate. In Arizona, July 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 $102 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$50.12$44.67 to $61.66
FacilityA hospital or hospital-owned outpatient department$102$47.86 to $158

How much rates vary

Facilitymedian $102 · 10th to 90th $32 to $263Professionalmedian $50 · 10th to 90th $40 to $120
$50$100$200$500$1Kfacility $102professional $50

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
$40.74
Median
$50.12
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$131.83
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$245.47
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
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$79.43
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$95.50
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$66.07

Where Arizona 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.

Arizona· 39th of 51

$50.12

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.