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Elastic Rib Gusset for TLSO (Low Profile)

Massachusetts rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $79 · 10th–90th $56$6310%10%20%10th90th$79Professionalmedian $105 · 10th–90th $52$1700%20%10th90th$105$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$177.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$630.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$77.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$169.82
Health New England
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$630.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$100.00
Typical High
$112.20