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Replacement Girdle for Spinal Orthosis

New York 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 New York, 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 $871 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$871$741 to $1,202
FacilityA hospital or hospital-owned outpatient department$871$661 to $1,479

How much rates vary

Facilitymedian $871 · 10th to 90th $631 to $2,188Professionalmedian $871 · 10th to 90th $603 to $2,138
$500$1K$2K$5K$10K$20K$50Kfacility $871professional $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
$489.78
Median
$741.31
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$2,454.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,202.26
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$954.99
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,398.83
Typical High
$5,623.41
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$2,818.38
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$691.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$912.01
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,412.54
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$2,344.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$870.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$912.01

Where New York 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 York· 31st 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.