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Elastic Rib Gusset for TLSO (Low Profile)

Idaho rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $54$1320%20%40%10th90th$95Professionalmedian $71 · 10th–90th $48$1120%10%20%10th90th$71$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
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$87.10
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$97.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$112.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$154.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$54.95
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$69.18