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Elastic Rib Gusset for TLSO (Low Profile)

Missouri 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 $51$1660%20%10th90th$79Professionalmedian $59 · 10th–90th $47$1170%50%10th90th$59$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$93.33