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Bilateral Outrigger for CTLSO or Scoliosis Orthosis

West 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?

$100

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $105 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 4 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$100$97.72 to $105
FacilityA hospital or hospital-owned outpatient department$105$105 to $110

How much rates vary

Facilitymedian $105 · 10th to 90th $105 to $295Professionalmedian $100 · 10th to 90th $83 to $132
$100$200$500$1Kfacility $105professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$165.96

Where West 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.

West Virginia· 40th 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.