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Elastic Rib Gusset for TLSO (Low Profile)

Oklahoma rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $50 · 10th–90th $45$1410%20%40%10th90th$50Professionalmedian $54 · 10th–90th $41$850%20%10th90th$54$20.0$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
$44.67
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
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
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$46.77
Typical High
$69.18