Lumbar Orthosis Sagittal Control With Rigid Anterior And Posterior Panels Posterior Extends From L-1 To Below L-5 Vertebra Produces Intra- Cavitary Pressure To Reduce The Load On The Inter-Vertebral Discs Includes Straps Closures May Include Padding Shoulder Straps Pendulous Abdomen Design 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 | $449.12 | $449.12 | $449.12 | |
Aetna
| Professional | $212.60 | $276.76 | $449.12 | |
BCBS
| Professional | $310.42 | $310.42 | $310.42 | |
Cigna
| Facility | $312.81 | $312.81 | $495.23 | |
Cigna
| Professional | $228.35 | $312.81 | $486.30 | |
United
| Professional | $147.19 | $220.78 | $342.01 |