Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.97 | $293.97 | $293.97 | |
Aetna
| Professional | $293.97 | $293.97 | $293.97 | |
CareFirst
| Professional | $400.97 | $400.97 | $400.97 | |
Cigna
| Professional | $374.35 | $374.35 | $374.35 | |
Kaiser Permanente
| Professional | $466.87 | $466.87 | $1,425.78 | |
United
| Professional | $238.89 | $358.33 | $557.76 |