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Elastic Rib Gusset for TLSO (Low Profile)

New Mexico rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $32$1170%10%10th90th$71Professionalmedian $59 · 10th–90th $48$1350%10%20%10th90th$59$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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$144.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$72.44
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$72.44