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Lateral Trochanteric Pad for TLSO (Low Profile)

South 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?

$56.23

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $63.10 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$53.70 to $81.28
FacilityA hospital or hospital-owned outpatient department$63.10$56.23 to $102

How much rates vary

Facilitymedian $63 · 10th to 90th $50 to $138Professionalmedian $56 · 10th to 90th $41 to $98
$50$100$200facility $63professional $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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$107.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$54.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$70.79

Where South 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.

South Carolina· 21st of 51

$56.23

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.