Rib gusset add-on for spinal brace

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Rib gusset (elastic) each

Payers reporting HCPCS L1280

Payer pricing summary

Low

$34

Average

$135

Median

$111

High

$367

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	359	$104	$123	$67	55%	—	$50 – $843
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$102	$107	$27	25%	—	$1 – $342
3	Humana fee schedule · outpatient · +14 other terms	317	$101	$153	$160	105%	—	$55 – $763
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	218	$103	$142	$83	59%	—	$0 – $555
5	WellCare fee schedule · outpatient · +6 other terms	208	$103	$107	$19	18%	—	$97 – $208
6	Devoted fee schedule · outpatient · +3 other terms	165	$99	$100	$3	3%	—	$95 – $135
7	Molina fee schedule · outpatient · +5 other terms	138	$146	$141	$52	37%	—	$59 – $260
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$104	$103	$7	7%	—	$99 – $136
9	Cigna fee schedule · outpatient · +12 other terms	102	$104	$120	$40	33%	—	$95 – $315
10	Anthem fee schedule · outpatient · +8 other terms	81	$99	$148	$142	96%	—	$56 – $805
11	Kaiser fee schedule · outpatient · +6 other terms	64	$101	$173	$124	72%	—	$95 – $757
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$188	$195	$40	20%	—	$78 – $279
13	Superior Healthplan fee schedule · outpatient	40	$104	$104	$1	0%	—	$97 – $104
14	Clover fee schedule · outpatient · +3 other terms	37	$104	$105	$4	4%	—	$101 – $132
15	Oscar fee schedule · outpatient · +4 other terms	36	$106	$123	$40	33%	—	$97 – $225
16	Optum fee schedule · outpatient · +3 other terms	33	$101	$132	$51	39%	—	$95 – $248
17	Caresource fee schedule · outpatient · +5 other terms	28	$101	$111	$33	30%	—	$56 – $166
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$110	$100	$26	26%	—	$36 – $165
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$103	$101	$5	5%	—	$86 – $105
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$122	$120	$2	2%	—	$115 – $122
21	Bcbs Tx fee schedule · outpatient	18	$97	$97	—	—	—	$97 – $97
22	Medicare fee schedule · outpatient · +3 other terms	18	$95	$96	$1	1%	—	$95 – $97
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$107	$124	$31	25%	—	$58 – $170
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$116	$110	$9	8%	—	$96 – $119
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$190	$195	$81	41%	—	$106 – $336

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