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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 October 2026.

How much does Elastic Rib Gusset for TLSO (Low Profile) cost?

$148

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$97.72 to $148
FacilityA hospital or hospital-owned outpatient department$132$72.44 to $148

How much rates vary

Facilitymedian $132 · 10th to 90th $72 to $155Professionalmedian $148 · 10th to 90th $60 to $182
$50$100$200facility $132professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$147.91
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$147.91
Typical High
$154.88
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$154.88
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$154.88
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$128.82
Median
$147.91
Typical High
$147.91
Providence
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$72.44
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$72.44
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$75.86
Typical High
$269.15

Where Alaska sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

Alaska· 2nd of 51

$148

HI $166FL $52.48

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.