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Replacement Girdle for Spinal Orthosis

New Jersey 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?

$759

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $537 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 5 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$759$631 to $1,023
FacilityA hospital or hospital-owned outpatient department$537$490 to $891

How much rates vary

Facilitymedian $537 · 10th to 90th $490 to $1,479Professionalmedian $759 · 10th to 90th $562 to $1,445
$500$1K$2K$5Kfacility $537professional $759

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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,905.46
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,412.54

Where New Jersey 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.

New Jersey· 41st of 51

$759

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.