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Upright Cover for CTLSO or Scoliosis Orthosis

Colorado 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?

$26.92

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $37.15 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 7 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$26.30$21.88 to $26.92
FacilityA hospital or hospital-owned outpatient department$37.15$26.92 to $48.98

How much rates vary

Facilitymedian $37 · 10th to 90th $14 to $62Professionalmedian $26 · 10th to 90th $19 to $40
$20$50$100$200facility $37professional $26

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
$26.92
Median
$26.92
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$43.65
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
$46.77
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$37.15
Typical High
$61.66
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$104.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$33.88

Where Colorado 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.

Colorado· 24th of 51

$26.92

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.