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CTLSO Immobilizer, Infant Size, Prefabricated

California rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does CTLSO Immobilizer, Infant Size, Prefabricated cost?

$977

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $1,072 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 7 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$45.71 to $60.26
FacilityA hospital or hospital-owned outpatient department$1,072$912 to $1,479

How much rates vary

Facilitymedian $1,072 · 10th to 90th $851 to $2,692Professionalmedian $58 · 10th to 90th $46 to $372
$50$100$200$500$1K$2K$5Kfacility $1,072professional $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. 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
$45.71
Median
$57.54
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$85.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where California sits

The same service costs 45.7 times more in North Dakota than in Oklahoma. 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.

California· 5th of 51

$977

ND $2,089OK $45.71

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.