Tlso Sagittal-Coronal Control Rigid Posterior Frame And Flexible Soft Anterior Apron With Straps Closures And Padding Extends From Sacrococcygeal Junction Over Scapulae Lateral Strength Provided By Pelvic Thoracic And Lateralframe Pieces Restricts Gross Trunk Motion In Sagittal And Coronal Planes Produces Intracavitary Pressure To Reduce Load On Intervertebral Disks Prefabricated Item That Has Been Trimmed Bent Molded (Revised 01/01/14)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $268.02 | $1,962.56 | $1,962.56 | |
Cigna
| Facility | $347.46 | $542.23 | $542.23 | |
Cigna
| Professional | $347.46 | $440.95 | $542.23 | |
Providence
| Facility | $287.91 | $516.41 | $542.23 | |
Providence
| Professional | $347.46 | $406.97 | $593.87 | |
United
| Professional | $232.85 | $257.63 | $429.38 |