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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.

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

$58.88

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $70.79 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 6 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$58.88$51.29 to $72.44
FacilityA hospital or hospital-owned outpatient department$70.79$48.98 to $95.50

How much rates vary

Facilitymedian $71 · 10th to 90th $32 to $117Professionalmedian $59 · 10th to 90th $48 to $135
$50$100$200$500facility $71professional $59

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
$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

Where New Mexico 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 Mexico· 23rd of 51

$58.88

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.