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Elastic Rib Gusset for TLSO (Low Profile)

Florida rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $43$1860%20%10th90th$52Professionalmedian $52 · 10th–90th $41$870%20%10th90th$52$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
AvMed
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
AvMed
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$60.26
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$53.70
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$102.33