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Upright Cover for CTLSO or Scoliosis Orthosis

Rhode Island 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 Rhode Island, 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 $74.13 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 4 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$19.95 to $26.30
FacilityA hospital or hospital-owned outpatient department$74.13$29.51 to $93.33

How much rates vary

Facilitymedian $74 · 10th to 90th $26 to $105Professionalmedian $23 · 10th to 90th $19 to $30
$20$50$100$200facility $74professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$21.88
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$37.15

Where Rhode Island 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.

Rhode Island· 47th 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.