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Upright Cover for CTLSO or Scoliosis Orthosis

Texas 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 Texas, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $39.81 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$24.55$22.39 to $28.84
FacilityA hospital or hospital-owned outpatient department$39.81$26.92 to $53.70

How much rates vary

Facilitymedian $40 · 10th to 90th $22 to $195Professionalmedian $25 · 10th to 90th $22 to $40
$20$50$100$200$500facility $40professional $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
$23.44
Median
$24.55
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$37.15
Christus
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$79.43
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$69.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$33.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$42.66
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$32.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$72.44

Where Texas 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.

Texas· 34th 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.