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Replacement Girdle for Spinal Orthosis

Massachusetts 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?

$1,514

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $2,138 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 9 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$1,380$776 to $1,514
FacilityA hospital or hospital-owned outpatient department$2,138$1,698 to $2,630

How much rates vary

Facilitymedian $2,138 · 10th to 90th $759 to $3,090Professionalmedian $1,380 · 10th to 90th $759 to $2,291
$100$200$500$1K$2K$5K$10Kfacility $2,138professional $1,380

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
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$2,398.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$9,332.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,348.96
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,047.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,290.87
Health New England
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$9,332.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,348.96
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,348.96
Typical High
$1,513.56

Where Massachusetts 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.

Massachusetts· 4th of 51

$1,514

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.