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Upright Cover for CTLSO or Scoliosis Orthosis

South Carolina 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?

$25.12

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $29.51 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 6 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$25.12$23.99 to $37.15
FacilityA hospital or hospital-owned outpatient department$29.51$24.55 to $46.77

How much rates vary

Facilitymedian $30 · 10th to 90th $24 to $63Professionalmedian $25 · 10th to 90th $19 to $43
$20$50$100facility $30professional $25

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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$53.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$29.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$79.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$33.11

Where South Carolina 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.

South Carolina· 36th of 51

$25.12

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.