go back

Elastic Rib Gusset for TLSO (Low Profile)

Indiana 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 $52$1150%20%40%10th90th$107Professionalmedian $54 · 10th–90th $47$870%50%10th90th$54$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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$74.13