go back

Upright Cover for CTLSO or Scoliosis Orthosis

Pennsylvania 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?

$23.44

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $23.44 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 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$23.44$20.42 to $28.84
FacilityA hospital or hospital-owned outpatient department$60.26$19.95 to $97.72

How much rates vary

Facilitymedian $60 · 10th to 90th $20 to $234Professionalmedian $23 · 10th to 90th $19 to $49
$100$1K$10Kfacility $60professional $23

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
$19.95
Median
$19.95
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$37.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
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
$29.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$87.10
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$50.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$77.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$37.15
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$173.78
Typical High
$281.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$45.71

Where Pennsylvania 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.

Pennsylvania· 48th of 51

$23.44

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.