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Elastic Rib Gusset for TLSO (Low Profile)

Maryland rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $36$1170%10%10th90th$56Professionalmedian $52 · 10th–90th $47$870%20%40%10th90th$52$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$87.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$81.28
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
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$93.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$100.00