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Upright Cover for CTLSO or Scoliosis Orthosis

North Dakota 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?

$44.67

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $35.48 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 5 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$45.71$35.48 to $53.70
FacilityA hospital or hospital-owned outpatient department$35.48$31.62 to $35.48

How much rates vary

Facilitymedian $35 · 10th to 90th $32 to $71Professionalmedian $46 · 10th to 90th $27 to $59
$20$50$100$200facility $35professional $46

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
$31.62
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$53.70
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$53.70
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$47.86
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$31.62
Typical High
$53.70

Where North Dakota 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.

North Dakota· 6th of 51

$44.67

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.