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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.

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

$60.26

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $102 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$60.26$48.98 to $83.18
FacilityA hospital or hospital-owned outpatient department$102$46.77 to $141

How much rates vary

Facilitymedian $102 · 10th to 90th $47 to $372Professionalmedian $60 · 10th to 90th $47 to $98
$50$100$200facility $102professional $60

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Georgia 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.

Georgia· 20th of 51

$60.26

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.