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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Pennsylvania 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?

$100

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $324 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$97.72$85.11 to $112
FacilityA hospital or hospital-owned outpatient department$324$100 to $724

How much rates vary

Facilitymedian $324 · 10th to 90th $83 to $1,072Professionalmedian $98 · 10th to 90th $76 to $200
$100$1K$10Kfacility $324professional $98

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
$83.18
Median
$83.18
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$144.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
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
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$204.17
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$147.91
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$741.31
Typical High
$1,174.90
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$234.42
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$181.97

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$100

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.