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Replacement Girdle for Spinal Orthosis

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 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 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$741$661 to $1,023
FacilityA hospital or hospital-owned outpatient department$1,950$631 to $2,455

How much rates vary

Facilitymedian $1,950 · 10th to 90th $631 to $5,012Professionalmedian $741 · 10th to 90th $603 to $1,549
$500$1K$2K$5K$10K$20K$50Kfacility $1,950professional $741

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
$630.96
Median
$630.96
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,096.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
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
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$2,754.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,584.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$2,454.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,318.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,715.35
Typical High
$6,025.60
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,479.11

Where Pennsylvania 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.

Pennsylvania· 44th 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.