Tlso Flexible Provides Trunk Support Extends From Sacrococcygeal Junction To Above T-9 Vertebra Restricts Gross Trunk Motion In The Sagittal Plane Produces Intracavitary Pressure To Reduce Load On The Intervertebral Disks With Rigid Stays Or Panel(S) Includes Shoulder Straps And Closures Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.44 | $235.44 | $375.24 | |
Aetna
| Professional | $221.02 | $268.55 | $375.24 | |
BCBS
| Facility | $325.57 | $325.57 | $325.57 | |
BCBS
| Professional | $325.57 | $325.57 | $325.57 | |
Cigna
| Facility | $233.26 | $233.26 | $233.26 | |
Cigna
| Professional | $170.28 | $170.28 | $350.11 | |
United
| Professional | $124.16 | $197.30 | $312.87 |