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Elastic Rib Gusset for TLSO (Low Profile)

New York rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $46$1580%10%20%10th90th$66Professionalmedian $60 · 10th–90th $46$1480%20%40%10th90th$60$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$56.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$158.49
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$87.10
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$77.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$204.17
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$58.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$66.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$181.97
Univera
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$64.57
Univera
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$66.07