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Upright Cover for CTLSO or Scoliosis Orthosis

Idaho 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?

$39.81

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $51.29 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$37.15$23.44 to $53.70
FacilityA hospital or hospital-owned outpatient department$51.29$39.81 to $53.70

How much rates vary

Facilitymedian $51 · 10th to 90th $26 to $69Professionalmedian $37 · 10th to 90th $20 to $62
$20$50$100facility $51professional $37

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
$19.95
Median
$33.11
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$44.67
Typical High
$58.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$47.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$61.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$25.70
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.39
Typical High
$32.36

Where Idaho 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.

Idaho· 10th of 51

$39.81

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.