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Lateral Trochanteric Pad for TLSO (Low Profile)

Iowa 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?

$58.88

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $75.86 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$56.23$50.12 to $97.72
FacilityA hospital or hospital-owned outpatient department$75.86$56.23 to $141

How much rates vary

Facilitymedian $76 · 10th to 90th $44 to $251Professionalmedian $56 · 10th to 90th $38 to $115
$50$100$200$500facility $76professional $56

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
$40.74
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$134.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$138.04
Midlands
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$91.20
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$89.13

Where Iowa 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.

Iowa· 18th of 51

$58.88

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.