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Replacement Girdle for Spinal Orthosis

South Dakota 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?

$1,445

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,549 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 7 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$1,445$1,096 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,549$1,175 to $1,778

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,096 to $2,239Professionalmedian $1,445 · 10th to 90th $1,000 to $2,291
$1K$2K$5K$10Kfacility $1,549professional $1,445

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$1,737.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,951.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,621.81
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82

Where South Dakota 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.

South Dakota· 6th of 51

$1,445

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.