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Upright Cover for CTLSO or Scoliosis Orthosis

Utah 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?

$27.54

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $22.39 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$27.54$20.42 to $48.98
FacilityA hospital or hospital-owned outpatient department$22.39$14.45 to $47.86

How much rates vary

Facilitymedian $22 · 10th to 90th $14 to $48Professionalmedian $28 · 10th to 90th $14 to $257
$20$50$100$200facility $22professional $28

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
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$45.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$47.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$61.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$56.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$33.88

Where Utah 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.

Utah· 19th of 51

$27.54

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.