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Elastic Rib Gusset for TLSO (Low Profile)

Tennessee rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $48$6310%20%10th90th$78Professionalmedian $49 · 10th–90th $44$830%20%40%10th90th$49$0.1$0.5$2.0$10.0$50.0$200.0

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
$48.98
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$69.18