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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

New York 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 York, 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 $110 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 9 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 $145
FacilityA hospital or hospital-owned outpatient department$110$85.11 to $182

How much rates vary

Facilitymedian $110 · 10th to 90th $76 to $295Professionalmedian $105 · 10th to 90th $76 to $269
$100$500$2K$10K$50Kfacility $110professional $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
$97.72
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$302.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$144.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$338.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$89.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$109.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$295.12
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$104.71
Univera
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$109.65

Where New York 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 York· 31st 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.