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Elastic Rib Gusset for TLSO (Low Profile)

Maine 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?

$72.44

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $135 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$72.44$58.88 to $112
FacilityA hospital or hospital-owned outpatient department$135$72.44 to $155

How much rates vary

Facilitymedian $135 · 10th to 90th $60 to $162Professionalmedian $72 · 10th to 90th $49 to $112
$50.0$100.0$200.0$500.0facility $135professional $72

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$107.15
Typical High
$112.20

Where Maine 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.

Maine $72.44 · 13th 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.