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Elastic Rib Gusset for TLSO (Low Profile)

Hawaii 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?

$166

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $72.44 to $166.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $62 · 10th to 90th $48 to $129Professionalmedian $166 · 10th to 90th $35 to $174
$50$100$200facility $62professional $166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$154.88
Typical High
$204.17
HMSA
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$204.17

Where Hawaii 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.

Hawaii· 1st of 51

$166

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.