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Upright Cover for CTLSO or Scoliosis Orthosis

West 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?

$23.99

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $25.12 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 4 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$23.99$22.91 to $25.12
FacilityA hospital or hospital-owned outpatient department$25.12$25.12 to $29.51

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $66Professionalmedian $24 · 10th to 90th $20 to $31
$20$50$100$200facility $25professional $24

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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$25.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$40.74

Where West 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.

West Virginia· 45th of 51

$23.99

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.