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Replacement Girdle for Spinal Orthosis

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,950 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$912$832 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,950$912 to $4,169

How much rates vary

Facilitymedian $1,950 · 10th to 90th $813 to $6,457Professionalmedian $912 · 10th to 90th $741 to $1,585
$100$1K$10Kfacility $1,950professional $912

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,786.30
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$891.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,019.95
Typical High
$3,388.44
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$1,949.84
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,288.25
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,148.15

Where Michigan 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.

Michigan· 16th 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.