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Upright Cover for CTLSO or Scoliosis Orthosis

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $60.26 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$26.92$24.55 to $45.71
FacilityA hospital or hospital-owned outpatient department$60.26$26.30 to $120

How much rates vary

Facilitymedian $60 · 10th to 90th $26 to $186Professionalmedian $27 · 10th to 90th $22 to $47
$1$10$100facility $60professional $27

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
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$138.04
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$47.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
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
$30.90
Typical High
$50.12
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$87.10
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$37.15
Typical High
$56.23
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$37.15
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.88
Typical High
$33.88

Where Michigan 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.

Michigan· 21st 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.