go back

CTLSO Immobilizer, Infant Size, Prefabricated

South Dakota 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 $78 · 10th to 90th $46 to $102Professionalmedian $46 · 10th to 90th $46 to $46
$50$100facility $78professional $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
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$102.33