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Elastic Rib Gusset for TLSO (Low Profile)

Georgia rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $47$3720%20%10th90th$102Professionalmedian $60 · 10th–90th $47$980%20%10th90th$60$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
$46.77
Median
$46.77
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$239.88
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
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
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$97.72