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Elastic Rib Gusset for TLSO (Low Profile)

North Dakota rates for HCPCS L1280

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

Rates data updated October 2026.

How much does Elastic Rib Gusset for TLSO (Low Profile) cost?

$93.33

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $70.79 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$70.79 to $110
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $74.13

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $214Professionalmedian $93 · 10th to 90th $49 to $120
$50$100$200$500facility $71professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$70.79
Typical High
$74.13
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$109.65
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$97.72
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$123.03
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$70.79
Typical High
$512.86
Medica
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$53.70
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$81.28

Where North Dakota sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

North Dakota· 10th of 51

$93.33

HI $166FL $52.48

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.