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Replacement Girdle for Spinal Orthosis

Kentucky 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?

$832

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $776 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$832$759 to $851
FacilityA hospital or hospital-owned outpatient department$776$759 to $1,585

How much rates vary

Facilitymedian $776 · 10th to 90th $646 to $2,188Professionalmedian $832 · 10th to 90th $676 to $912
$500$1K$2K$5Kfacility $776professional $832

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
$758.58
Median
$758.58
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$2,570.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$7,943.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,096.48

Where Kentucky 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.

Kentucky· 35th of 51

$832

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.