go back

Upright Cover for CTLSO or Scoliosis Orthosis

South Dakota 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?

$44.67

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $45.71 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 7 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$44.67$31.62 to $53.70
FacilityA hospital or hospital-owned outpatient department$45.71$38.90 to $53.70

How much rates vary

Facilitymedian $46 · 10th to 90th $31 to $66Professionalmedian $45 · 10th to 90th $28 to $66
$20$50$100$200$500facility $46professional $45

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
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$48.98
Midlands
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$87.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$53.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where South Dakota 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 Dakota· 7th of 51

$44.67

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.