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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.

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

$56.23

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $107 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 5 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$53.70$52.48 to $60.26
FacilityA hospital or hospital-owned outpatient department$107$58.88 to $107

How much rates vary

Facilitymedian $107 · 10th to 90th $52 to $115Professionalmedian $54 · 10th to 90th $47 to $87
$50$100$200facility $107professional $54

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
$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

Where Indiana 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.

Indiana· 34th of 51

$56.23

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.