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Lateral Trochanteric Pad for TLSO (Low Profile)

Hawaii 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?

$234

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $60.26 to $234.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56 · 10th to 90th $44 to $182Professionalmedian $234 · 10th to 90th $30 to $245
$50$100$200facility $56professional $234

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$288.40
HMSA
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$288.40

Where Hawaii 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.

Hawaii· 1st of 51

$234

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.