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Upright Cover for CTLSO or Scoliosis Orthosis

New York 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 New York, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $28.18 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$26.30$23.99 to $34.67
FacilityA hospital or hospital-owned outpatient department$28.18$19.50 to $46.77

How much rates vary

Facilitymedian $28 · 10th to 90th $5 to $69Professionalmedian $26 · 10th to 90th $19 to $65
$10$100$1K$10Kfacility $28professional $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
$15.14
Median
$23.44
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.44
Typical High
$36.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$69.18
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$37.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$31.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$87.10
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$26.92
Typical High
$28.84
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$26.30
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$75.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$25.70
Typical High
$26.92
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$26.92
Typical High
$28.84

Where New York 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.

New York· 28th 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.