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Elastic Rib Gusset for TLSO (Low Profile)

Arizona rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $35$2750%10%10th90th$110Professionalmedian $54 · 10th–90th $41$1320%20%40%10th90th$54$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$40.74
Median
$52.48
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$144.54
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$269.15
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
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$87.10
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$72.44