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Elastic Rib Gusset for TLSO (Low Profile)

Rhode Island rates for HCPCS L1280

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

Rates data updated October 2026.

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

$72.44

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $240 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$61.66 to $77.62
FacilityA hospital or hospital-owned outpatient department$240$191 to $275

How much rates vary

Facilitymedian $240 · 10th to 90th $132 to $302Professionalmedian $72 · 10th to 90th $51 to $107
$50$100$200facility $240professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$31.62
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.59
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.33
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.31
Median
$7.76
Typical High
$7.76
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$257.04
Typical High
$302.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$72.44
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
United
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$69.18
Typical High
$107.15

Where Rhode Island sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

Rhode Island· 18th of 51

$72.44

HI $166FL $52.48

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.