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Replacement Girdle for Spinal Orthosis

Missouri 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?

$871

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,318 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$871$832 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,318$891 to $1,622

How much rates vary

Facilitymedian $1,318 · 10th to 90th $832 to $2,818Professionalmedian $871 · 10th to 90th $676 to $1,905
$500$1K$2K$5Kfacility $1,318professional $871

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
$831.76
Median
$831.76
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,318.26
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,412.54

Where Missouri 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.

Missouri· 26th of 51

$871

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.