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Molded Ring Flange for CTLSO or Scoliosis Orthosis

Washington rates for HCPCS L1110

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $229$7080%20%10th90th$339Professionalmedian $282 · 10th–90th $162$5620%10%20%10th90th$282$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$1,659.59
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$338.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$223.87
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$426.58
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$257.04
Typical High
$281.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$338.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$676.08
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$295.12
Typical High
$512.86