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Molded Ring Flange for CTLSO or Scoliosis Orthosis

Wisconsin 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 $389 · 10th–90th $288$7940%20%40%10th90th$389Professionalmedian $363 · 10th–90th $178$6170%20%10th90th$363$0.2$1.0$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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$891.25
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$562.34
Typical High
$741.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$478.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$158.49
Network Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Network Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$758.58
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$478.63
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$870.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$794.33
Typical High
$1,548.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$588.84
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$331.13