go back

Elastic Rib Gusset for TLSO (Low Profile)

California rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $45$2570%20%10th90th$56Professionalmedian $59 · 10th–90th $46$5620%20%10th90th$59$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
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$138.04
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$316.23
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$213.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$104.71
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$97.72
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$47.86
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$131.83