go back

Upright Cover for CTLSO or Scoliosis Orthosis

Missouri 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?

$26.30

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $36.31 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$26.30$23.44 to $32.36
FacilityA hospital or hospital-owned outpatient department$36.31$26.92 to $45.71

How much rates vary

Facilitymedian $36 · 10th to 90th $23 to $78Professionalmedian $26 · 10th to 90th $22 to $54
$20$50$100$200facility $36professional $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
$23.44
Median
$23.44
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$36.31
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.39
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$36.31
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$39.81

Where Missouri 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.

Missouri· 30th of 51

$26.30

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.