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Replacement Girdle for Spinal Orthosis

Utah 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?

$891

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $724 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$891$661 to $1,660
FacilityA hospital or hospital-owned outpatient department$724$468 to $1,622

How much rates vary

Facilitymedian $724 · 10th to 90th $468 to $1,622Professionalmedian $891 · 10th to 90th $468 to $8,318
$500$1K$2K$5Kfacility $724professional $891

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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,202.26
Typical High
$1,548.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$1,659.59
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,096.48

Where Utah 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.

Utah· 22nd of 51

$891

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.