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Elastic Rib Gusset for TLSO (Low Profile)

New Hampshire 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?

$87.10

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $132 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 7 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$79.43$58.88 to $112
FacilityA hospital or hospital-owned outpatient department$132$87.10 to $141

How much rates vary

Facilitymedian $132 · 10th to 90th $72 to $162Professionalmedian $79 · 10th to 90th $51 to $112
$50$100$200facility $132professional $79

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
$72.44
Median
$72.44
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$112.20
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$186.21

Where New Hampshire 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.

New Hampshire· 8th of 51

$87.10

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.