Tlso Sagittal Control Rigid Posterior Frame And Flexible Soft Anterior Apron With Straps Closuresand Padding Restricts Gross Trunk Motion In Sagittal Plane Produces Intracavitary Pressure To Reduce Load On Intervertebral Disks 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 | $234.95 | $236.02 | $280.38 | |
Aetna
| Professional | $204.61 | $238.53 | $332.13 | |
BCBS
| Facility | $429.24 | $494.14 | $841.82 | |
BCBS
| Professional | $246.85 | $256.36 | $361.65 | |
Cigna
| Facility | $295.70 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $289.36 | $304.58 | |
United
| Facility | $158.55 | $208.12 | $244.99 | |
United
| Professional | $173.80 | $219.35 | $337.86 |
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