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Lateral Trochanteric Pad for TLSO (Low Profile)

Georgia 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?

$61.66

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $115 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 7 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$60.26$53.70 to $93.33
FacilityA hospital or hospital-owned outpatient department$115$53.70 to $234

How much rates vary

Facilitymedian $115 · 10th to 90th $52 to $417Professionalmedian $60 · 10th to 90th $44 to $110
$50$100$200facility $115professional $60

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
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$275.42
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$43.65
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$97.72

Where Georgia 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.

Georgia· 15th of 51

$61.66

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.