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Lateral Trochanteric Pad for TLSO (Low Profile)

North Carolina 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?

$87.10

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $97.72 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$87.10$53.70 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$60.26 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $42 to $200Professionalmedian $87 · 10th to 90th $45 to $105
$50$100$200$500facility $98professional $87

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$97.72
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$69.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$61.66
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$97.72
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$91.20
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$74.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where North Carolina 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.

North Carolina· 4th of 51

$87.10

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.