go back

Elastic Rib Gusset for TLSO (Low Profile)

Kansas rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $32$1070%20%10th90th$68Professionalmedian $78 · 10th–90th $47$780%50%10th$78$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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$53.70
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$67.61
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$74.13