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Upright Cover for CTLSO or Scoliosis Orthosis

Oregon 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?

$43.65

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $51.29 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 8 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$41.69$26.92 to $53.70
FacilityA hospital or hospital-owned outpatient department$51.29$43.65 to $54.95

How much rates vary

Facilitymedian $51 · 10th to 90th $42 to $55Professionalmedian $42 · 10th to 90th $22 to $62
$20$50$100$200facility $51professional $42

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
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$37.15
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
$21.88
Typical High
$21.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$56.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$61.66
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$54.95
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$61.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$218.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$22.39
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$42.66

Where Oregon 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.

Oregon· 8th of 51

$43.65

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.