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Elastic Rib Gusset for TLSO (Low Profile)

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $52.48 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 6 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$56.23$52.48 to $57.54
FacilityA hospital or hospital-owned outpatient department$52.48$51.29 to $107

How much rates vary

Facilitymedian $52 · 10th to 90th $44 to $151Professionalmedian $56 · 10th to 90th $47 to $62
$0.1$1.0$10.0$100.0facility $52professional $56

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
$51.29
Median
$51.29
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$74.13

Where Kentucky sits

The same service costs 3.7 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $56.23 · 33rd of 51
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.