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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.

How much does Elastic Rib Gusset for TLSO (Low Profile) cost?

$53.70

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $36.31 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 5 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$53.70$46.77 to $66.07
FacilityA hospital or hospital-owned outpatient department$36.31$35.48 to $72.44

How much rates vary

Facilitymedian $36 · 10th to 90th $35 to $107Professionalmedian $54 · 10th to 90th $41 to $105
$50$100$200$500facility $36professional $54

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
$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

Where New Jersey 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 Jersey· 41st of 51

$53.70

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.