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Replacement Girdle for Spinal Orthosis

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,622 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 8 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$851$776 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,622$1,288 to $1,778

How much rates vary

Facilitymedian $1,622 · 10th to 90th $851 to $2,512Professionalmedian $851 · 10th to 90th $661 to $1,660
$500$1K$2K$5Kfacility $1,622professional $851

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
$851.14
Median
$1,258.93
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,380.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,288.25
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,122.02

Where Ohio 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.

Ohio· 27th 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.