Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $187.47 | $187.47 | $237.72 | |
Cigna
| Facility | $297.02 | $297.02 | $297.02 | |
Cigna
| Professional | $216.82 | $216.82 | $423.66 | |
United
| Professional | $188.28 | $227.26 | $342.33 |