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Elastic Rib Gusset for TLSO (Low Profile)

Nebraska 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?

$44.67

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $100 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 6 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$44.67$44.67 to $58.88
FacilityA hospital or hospital-owned outpatient department$100$63.10 to $112

How much rates vary

Facilitymedian $100 · 10th to 90th $49 to $513Professionalmedian $45 · 10th to 90th $41 to $81
$50$100$200$500facility $100professional $45

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$263.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$75.86

Where Nebraska 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.

Nebraska· 51st of 51

$44.67

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.