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Illinois rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Facilitymedian $240 · 10th–90th $107–$1,0960%20%10th90th$240Professionalmedian $120 · 10th–90th $100–$2340%20%40%10th90th$120$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $371.54
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $173.78 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $173.78