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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.

Facilitymedian $100 · 10th–90th $49$5130%20%10th90th$100Professionalmedian $45 · 10th–90th $41$810%20%40%10th90th$45$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
$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