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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Ohio 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?

$112

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $214 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 8 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$112$102 to $141
FacilityA hospital or hospital-owned outpatient department$214$174 to $234

How much rates vary

Facilitymedian $214 · 10th to 90th $112 to $339Professionalmedian $112 · 10th to 90th $98 to $219
$100$200$500facility $214professional $112

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
$112.20
Median
$134.90
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$154.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$151.36
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$186.21
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$138.04

Where Ohio 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.

Ohio· 19th of 51

$112

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.