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CTLSO (Milwaukee), Initial Orthotic Including Model

West Virginia rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Rates data updated July 2026.

How much does CTLSO (Milwaukee), Initial Orthotic Including Model cost?

$1,148

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,202 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$1,148$1,122 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,202$1,202 to $1,479

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,202 to $3,090Professionalmedian $1,148 · 10th to 90th $955 to $1,514
$1K$2K$5K$10Kfacility $1,202professional $1,148

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
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,090.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,905.46

Where West Virginia sits

The same service costs 4.3 times more in Hawaii than in Washington, DC. 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· 46th of 51

$1,148

HI $4,074DC $955

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.