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Unclassified Spinal Orthosis

Wisconsin rates for HCPCS L1499

Spinal orthosis, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Spinal Orthosis cost?

$151

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $457 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 6 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$151$70.79 to $151
FacilityA hospital or hospital-owned outpatient department$457$447 to $457

How much rates vary

Facilitymedian $457 · 10th to 90th $372 to $457Professionalmedian $151 · 10th to 90th $50 to $151
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $457professional $151

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
$446.68
Median
$457.09
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where Wisconsin sits

The same service costs 19952623.1 times more in Arkansas than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $151 · 40th of 51
AR $398,107LA $0.02

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.