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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.

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

$72.44

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $95.50 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 8 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$70.79$51.29 to $97.72
FacilityA hospital or hospital-owned outpatient department$95.50$74.13 to $102

How much rates vary

Facilitymedian $95 · 10th to 90th $54 to $132Professionalmedian $71 · 10th to 90th $48 to $112
$50$100$200$500facility $95professional $71

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
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

Where Idaho 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.

Idaho· 14th of 51

$72.44

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.