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Replacement Girdle for Spinal Orthosis

Virginia 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 Virginia, 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 $1,585 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$759 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,585$1,047 to $1,585

How much rates vary

Facilitymedian $1,585 · 10th to 90th $759 to $1,995Professionalmedian $851 · 10th to 90th $631 to $1,445
$500$1K$2K$5K$10Kfacility $1,585professional $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
$630.96
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,819.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,995.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,230.27

Where Virginia 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.

Virginia· 25th 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.