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Upright Cover for CTLSO or Scoliosis Orthosis

Georgia 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?

$28.18

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $50.12 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 6 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$28.18$23.44 to $40.74
FacilityA hospital or hospital-owned outpatient department$50.12$23.44 to $70.79

How much rates vary

Facilitymedian $50 · 10th to 90th $23 to $186Professionalmedian $28 · 10th to 90th $22 to $48
$20$50$100facility $50professional $28

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
$23.44
Median
$23.44
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$42.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$120.23
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.88
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$46.77

Where Georgia 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.

Georgia· 18th of 51

$28.18

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.