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Upright Cover for CTLSO or Scoliosis Orthosis

Arizona rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Rates data updated July 2026.

How much does Upright Cover for CTLSO or Scoliosis Orthosis cost?

$25.70

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $48.98 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 5 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$25.12$21.88 to $30.20
FacilityA hospital or hospital-owned outpatient department$48.98$23.99 to $74.13

How much rates vary

Facilitymedian $49 · 10th to 90th $14 to $120Professionalmedian $25 · 10th to 90th $20 to $58
$20$50$100$200$500facility $49professional $25

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
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$61.66
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$40.74
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$48.98
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.39
Typical High
$33.88

Where Arizona sits

The same service costs 5.8 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.

Arizona· 32nd of 51

$25.70

HI $115DC $19.95

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.