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Elastic Rib Gusset for TLSO (Low Profile)

Oregon 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?

$79.43

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $97.72 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 8 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$75.86$57.54 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$79.43 to $100

How much rates vary

Facilitymedian $98 · 10th to 90th $76 to $100Professionalmedian $76 · 10th to 90th $48 to $112
$50$100$200$500facility $98professional $76

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$72.44
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
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$213.80
Typical High
$263.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$104.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$112.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$100.00
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$107.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$107.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$47.86
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$93.33

Where Oregon 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.

Oregon· 10th of 51

$79.43

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.