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Replacement Girdle for Spinal Orthosis

Iowa 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?

$1,023

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,202 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$1,023$794 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,202$1,000 to $2,291

How much rates vary

Facilitymedian $1,202 · 10th to 90th $708 to $3,981Professionalmedian $1,023 · 10th to 90th $631 to $1,862
$500$1K$2K$5Kfacility $1,202professional $1,023

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
$707.95
Median
$1,096.48
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,862.09
Typical High
$2,290.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$2,691.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,238.72
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,202.26
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$1,584.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,548.82

Where Iowa 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.

Iowa· 14th of 51

$1,023

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.