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Elastic Rib Gusset for TLSO (Low Profile)

Iowa rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $81 · 10th–90th $48$2690%10%20%10th90th$81Professionalmedian $62 · 10th–90th $47$1260%20%10th90th$62$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
$44.67
Median
$70.79
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$151.36
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72