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Replacement Girdle for Spinal Orthosis

Idaho 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?

$1,175

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,549 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$1,175$759 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,549$1,175 to $1,660

How much rates vary

Facilitymedian $1,549 · 10th to 90th $813 to $2,042Professionalmedian $1,175 · 10th to 90th $631 to $1,820
$500$1K$2Kfacility $1,549professional $1,175

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
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,380.38
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$1,584.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,511.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$812.83
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,023.29

Where Idaho 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.

Idaho· 11th of 51

$1,175

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.