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Lateral Trochanteric Pad for TLSO (Low Profile)

Indiana 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?

$51.29

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $95.50 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$46.77 to $56.23
FacilityA hospital or hospital-owned outpatient department$95.50$53.70 to $95.50

How much rates vary

Facilitymedian $95 · 10th to 90th $47 to $120Professionalmedian $50 · 10th to 90th $43 to $79
$50$100$200facility $95professional $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
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$169.82
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
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$67.61

Where Indiana 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.

Indiana· 36th of 51

$51.29

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.