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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 July 2026.

Facilitymedian $71 · 10th–90th $71$1450%50%90th$71Professionalmedian $91 · 10th–90th $59$1200%20%10th90th$91$50.0$100.0$200.0$500.0

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
$70.79
Median
$70.79
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$95.50
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$123.03