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Elastic Rib Gusset for TLSO (Low Profile)

Michigan 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?

$60.26

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $132 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 7 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$60.26$56.23 to $105
FacilityA hospital or hospital-owned outpatient department$132$60.26 to $275

How much rates vary

Facilitymedian $132 · 10th to 90th $55 to $427Professionalmedian $60 · 10th to 90th $49 to $105
$1$10$100$1Kfacility $132professional $60

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
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$316.23
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$109.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$120.23
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$199.53
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$128.82
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$85.11
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$75.86

Where Michigan sits

The same service costs 3.7 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 21st of 51

$60.26

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.