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Thoracic-Lumbar-Sacral Orthosis (TLSO), Full Corset

Wisconsin rates for HCPCS L0974

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

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $158$4370%50%10th90th$214Professionalmedian $200 · 10th–90th $105$3550%20%10th90th$200$0.2$1.0$5.0$20.0$100.0$500.0

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$489.78
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$309.03
Typical High
$407.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$263.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$208.93
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$91.20
Network Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Network Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$416.87
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$263.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$257.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$602.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$436.52
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$323.59
Typical High
$1,258.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$204.17