go back

Elastic Rib Gusset for TLSO (Low Profile)

West Virginia 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?

$57.54

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $60.26 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 4 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$57.54$53.70 to $60.26
FacilityA hospital or hospital-owned outpatient department$60.26$60.26 to $60.26

How much rates vary

Facilitymedian $60 · 10th to 90th $60 to $135Professionalmedian $58 · 10th to 90th $48 to $72
$50$100$200$500facility $60professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$134.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$97.72

Where West Virginia 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.

West Virginia· 32nd of 51

$57.54

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.