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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 October 2026.

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

$52.48

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $102 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$48.98 to $54.95
FacilityA hospital or hospital-owned outpatient department$102$72.44 to $186

How much rates vary

Facilitymedian $102 · 10th to 90th $65 to $186Professionalmedian $52 · 10th to 90th $41 to $102
$50$100facility $102professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$45.71
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$22.91
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.32
Median
$9.12
Typical High
$11.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.17
Median
$6.92
Typical High
$8.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.07
Median
$4.57
Typical High
$5.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
AvMed
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
AvMed
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$95.50
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$102.33
Typical High
$102.33
Molina
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$50.12
Typical High
$54.95
United
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$64.57
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$48.98
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$102.33

Where Florida sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

Florida· 51st of 51

$52.48

HI $166FL $52.48

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.