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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

New Jersey 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 New Jersey, 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 $64.57 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 5 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$83.18 to $117
FacilityA hospital or hospital-owned outpatient department$64.57$58.88 to $145

How much rates vary

Facilitymedian $65 · 10th to 90th $59 to $178Professionalmedian $105 · 10th to 90th $68 to $174
$100$200$500$1Kfacility $65professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$229.09
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$169.82

Where New Jersey 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.

New Jersey· 26th 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.