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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.

Facilitymedian $98 · 10th–90th $76$1000%50%10th90th$98Professionalmedian $76 · 10th–90th $48$1120%10%20%10th90th$76$0.1$1.0$10.0$100.0$1.0K

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
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