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Lateral Trochanteric Pad for TLSO (Low Profile)

Minnesota 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?

$93.33

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $162 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$93.33$75.86 to $93.33
FacilityA hospital or hospital-owned outpatient department$162$93.33 to $355

How much rates vary

Facilitymedian $162 · 10th to 90th $79 to $759Professionalmedian $93 · 10th to 90th $56 to $107
$50$100$200$500$1Kfacility $162professional $93

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
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$138.04
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$758.58
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$93.33
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$44.67
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$131.83

Where Minnesota 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.

Minnesota· 3rd of 51

$93.33

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.