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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

Virginia 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 Virginia, 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 $204 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$105$100 to $132
FacilityA hospital or hospital-owned outpatient department$204$135 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $100 to $257Professionalmedian $105 · 10th to 90th $83 to $195
$100$200$500$1K$2K$5K$10Kfacility $204professional $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
$83.18
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$218.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$288.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$204.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$257.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$588.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$162.18

Where Virginia 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.

Virginia· 35th 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.