Tlso Triplanar Control Modular Segmented Spinal System Three Rigid Plastic Shells Posterior Ext Ends 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 Lateralstrength Is Provided By Overlapping Plastic And Stabilizing Closures Includes Straps And Closures Prefabricated Includes Fitting And Adjustment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $851.70 | $851.70 | $1,331.74 | |
BCBS
| Facility | $1,485.24 | $1,485.24 | $1,485.24 | |
BCBS
| Professional | $1,485.24 | $1,485.24 | $1,485.24 | |
Cigna
| Facility | $1,038.85 | $1,038.85 | $1,646.70 | |
Cigna
| Professional | $758.37 | $758.37 | $1,038.85 | |
United
| Professional | $605.97 | $670.46 | $744.35 |