go back

Elastic Rib Gusset for TLSO (Low Profile)

Texas rates for HCPCS L1280

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

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $44$2820%10%10th90th$74Professionalmedian $48 · 10th–90th $43$740%50%10th90th$48$0.1$0.5$2.0$10.0$50.0$200.0$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
Facility
Modifier
Global
Typical Low
$43.65
Median
$44.67
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$57.54
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$100.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$151.36
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$134.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$134.90