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Upright Cover for CTLSO or Scoliosis Orthosis

Virginia 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?

$26.30

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $50.12 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 8 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$25.70$23.99 to $32.36
FacilityA hospital or hospital-owned outpatient department$50.12$32.36 to $50.12

How much rates vary

Facilitymedian $50 · 10th to 90th $24 to $62Professionalmedian $26 · 10th to 90th $20 to $46
$20$100$500$2K$10Kfacility $50professional $26

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
$19.95
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$54.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$69.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$61.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$61.66
Sentara
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$144.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$23.44
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$38.90

Where Virginia 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.

Virginia· 29th of 51

$26.30

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.