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Elastic Rib Gusset for TLSO (Low Profile)

Delaware rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $0$720%20%40%10th90th$55Professionalmedian $48 · 10th–90th $46$5010%50%10th90th$48$0.1$0.5$2.0$10.0$50.0$200.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$501.19
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
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$47.86
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$87.10