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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.

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

$61.66

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $81.28 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 7 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$61.66$48.98 to $93.33
FacilityA hospital or hospital-owned outpatient department$81.28$61.66 to $155

How much rates vary

Facilitymedian $81 · 10th to 90th $48 to $269Professionalmedian $62 · 10th to 90th $47 to $126
$50$100$200$500facility $81professional $62

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
$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

Where Iowa 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.

Iowa· 19th of 51

$61.66

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.