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CTLSO Immobilizer, Infant Size, Prefabricated

Wisconsin 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?

$45.71

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $45.71 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 8 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$45.71$45.71 to $45.71
FacilityA hospital or hospital-owned outpatient department$45.71$45.71 to $67.61

How much rates vary

Facilitymedian $46 · 10th to 90th $46 to $81Professionalmedian $46 · 10th to 90th $46 to $1,148
$50$100$200$500$1Kfacility $46professional $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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$81.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where Wisconsin 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.

Wisconsin· 25th of 51

$45.71

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.