Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and 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
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.04 | $228.04 | $336.09 | |
Aetna
| Professional | $219.60 | $228.04 | $246.79 | |
Cigna
| Facility | $295.70 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $295.70 | $295.70 | |
Medica
| Facility | $135.56 | $298.98 | $2,182.33 | |
Medica
| Professional | $139.99 | $229.87 | $476.99 | |
United
| Facility | $161.79 | $209.99 | $253.05 | |
United
| Professional | $139.99 | $217.45 | $301.25 |