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Upright Cover for CTLSO or Scoliosis Orthosis

Massachusetts 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?

$38.90

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 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 9 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$38.90$21.88 to $38.90
FacilityA hospital or hospital-owned outpatient department$37.15$21.88 to $77.62

How much rates vary

Facilitymedian $37 · 10th to 90th $19 to $288Professionalmedian $39 · 10th to 90th $19 to $59
$20$100$500$2Kfacility $37professional $39

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
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$61.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$288.40
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$35.48
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$29.51
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$35.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$58.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$288.40
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$35.48
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$37.15
Typical High
$42.66

Where Massachusetts 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.

Massachusetts· 11th of 51

$38.90

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.