go back

Replacement Girdle for Spinal Orthosis

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $832 to $933.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $891 · 10th to 90th $537 to $955Professionalmedian $851 · 10th to 90th $832 to $1,072
$500$1K$2Kfacility $891professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,096.48
Typical High
$3,467.37

Where Vermont 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.

Vermont· 23rd 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.