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Kyphosis Pad for CTLSO or Scoliosis Orthosis

Maine rates for HCPCS L1020

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

Rates data updated July 2026.

How much does Kyphosis Pad for CTLSO or Scoliosis Orthosis cost?

$60.26

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $102 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$60.26$57.54 to $85.11
FacilityA hospital or hospital-owned outpatient department$102$79.43 to $115

How much rates vary

Facilitymedian $102 · 10th to 90th $62 to $123Professionalmedian $60 · 10th to 90th $43 to $85
$50.0$100.0$200.0$500.0facility $102professional $60

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
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$57.54
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$85.11
Typical High
$85.11

Where Maine sits

The same service costs 4.7 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.

Maine $60.26 · 34th of 51
HI $186DC $39.81

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.