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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Maine rates for HCPCS L1085

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions

Rates data updated July 2026.

How much does Bilateral Outrigger for CTLSO or Scoliosis Orthosis cost?

$105

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $182 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$105$97.72 to $151
FacilityA hospital or hospital-owned outpatient department$182$141 to $204

How much rates vary

Facilitymedian $182 · 10th to 90th $110 to $219Professionalmedian $105 · 10th to 90th $83 to $151
$100$200facility $182professional $105

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
$75.86
Median
$97.72
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$181.97
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$151.36

Where Maine sits

The same service costs 3.6 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.

Maine· 25th of 51

$105

HI $302DC $83.18

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.