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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Michigan rates for HCPCS L1040

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad

Rates data updated July 2026.

How much does Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis cost?

$61.66

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $120 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$61.66$51.29 to $107
FacilityA hospital or hospital-owned outpatient department$120$61.66 to $282

How much rates vary

Facilitymedian $120 · 10th to 90th $50 to $427Professionalmedian $62 · 10th to 90th $44 to $107
$0.1$1.0$10.0$100.0$1.0Kfacility $120professional $62

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$109.65
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$204.17
Typical High
$229.09
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$131.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$87.10
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$72.44

Where Michigan sits

The same service costs 4.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $61.66 · 16th of 51
HI $166DC $38.02

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.