Tlso Triplanar Control Modular Segmented Spinal System Two Rigid Plastic Shells Posterior Extends From The Sacrococcygeal Junction And Terminates Just Inferior To The Scapular Spine Anterior Extends From The Symphysis Pubis To The Sternal Notch Soft Liner Restricts Gross Trunk Motion In The Sagittal Coronal And Tranverse Planes Lateral Strength Is Provided By Overlapping Plastic And Stabilizingclosures Includes Straps And Closures Pre Fabricated Includes Fitting And Adjustment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $996.65 | $996.65 | $996.65 | |
Aetna
| Professional | $347.99 | $652.97 | $996.65 | |
BCBS
| Facility | $1,191.18 | $1,299.63 | $1,378.51 | |
BCBS
| Professional | $1,289.99 | $1,289.99 | $1,289.99 | |
Cigna
| Facility | $944.53 | $944.53 | $944.53 | |
Cigna
| Professional | $689.51 | $944.53 | $1,752.66 | |
Medica
| Facility | $347.99 | $969.96 | $5,632.19 | |
Medica
| Professional | $359.36 | $600.44 | $1,537.58 | |
United
| Professional | $359.36 | $573.66 | $804.16 |