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CTLSO Immobilizer, Infant Size, Prefabricated

Nebraska 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 rates vary

Facilitymedian $48 · 10th to 90th $46 to $87Professionalmedian $46 · 10th to 90th $46 to $60
$50$100facility $48professional $46

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
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54