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Replacement Girdle for Spinal Orthosis

Georgia rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Rates data updated July 2026.

How much does Replacement Girdle for Spinal Orthosis cost?

$912

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,514 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 6 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$891$724 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,514$692 to $2,089

How much rates vary

Facilitymedian $1,514 · 10th to 90th $692 to $5,495Professionalmedian $891 · 10th to 90th $692 to $1,445
$500$1K$2K$5Kfacility $1,514professional $891

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
$691.83
Median
$691.83
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,548.13
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,949.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,862.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,445.44

Where Georgia sits

The same service costs 3.5 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.

Georgia· 17th of 51

$912

HI $2,188DC $631

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.