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Elastic Rib Gusset for TLSO (Low Profile)

Connecticut rates for HCPCS L1280

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

Rates data updated July 2026.

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

$58.88

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $72.44 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 6 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$58.88$47.86 to $64.57
FacilityA hospital or hospital-owned outpatient department$72.44$57.54 to $123

How much rates vary

Facilitymedian $72 · 10th to 90th $48 to $132Professionalmedian $59 · 10th to 90th $41 to $107
$50$100$200$500facility $72professional $59

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$128.82
Health New England
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$107.15

Where Connecticut sits

The same service costs 3.7 times more in Hawaii than in Nebraska. 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.

Connecticut· 29th of 51

$58.88

HI $166NE $44.67

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.