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Elastic Rib Gusset for TLSO (Low Profile)

Illinois rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $107 · 10th–90th $54$5370%20%10th90th$107Professionalmedian $62 · 10th–90th $47$1070%20%10th90th$62$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$53.70
Median
$53.70
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$91.20