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Elastic Rib Gusset for TLSO (Low Profile)

New Jersey rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $36 · 10th–90th $35$1070%50%10th90th$36Professionalmedian $54 · 10th–90th $41$1050%10%10th90th$54$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
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$138.04
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$102.33