go back

Elastic Rib Gusset for TLSO (Low Profile)

Minnesota rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $91$8510%20%10th90th$182Professionalmedian $105 · 10th–90th $62$1230%50%10th90th$105$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$72.44
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$154.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$851.14
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$104.71
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$47.86
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$147.91