go back

Kyphosis Pad for CTLSO or Scoliosis Orthosis

West Virginia rates for HCPCS L1020

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

Rates data updated October 2026.

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

$61.66

Typical negotiated rate. In West Virginia, October 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 $83.18 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$50.12 to $72.44
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $112

How much rates vary

Facilitymedian $83 · 10th to 90th $72 to $174Professionalmedian $62 · 10th to 90th $48 to $110
$50$100$200$500facility $83professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$47.86
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
CareSource
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
CareSource
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$72.44
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$54.95
Typical High
$109.65

Where West Virginia sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 40th of 51

$61.66

HI $186DC $52.48

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.