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Elastic Rib Gusset for TLSO (Low Profile)

Alaska rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $32$1480%20%40%10th90th$59Professionalmedian $74 · 10th–90th $52$2090%20%10th90th$74$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$70.79
Typical High
$147.91
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$309.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$154.88
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$380.19