Lumbar-Sacral Orthosis Sagittal-Coronal Control With Rigid Posterior Frame/Panel(S) Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Lateral Strength Provided By Rigid Lateral Frame/Panel(S) Produces Intracavitary Pressure To Reduce Load On Intervertebral Discs Includes Straps Closures May Include Padding Stays Shoulder Straps Pendulous Abdomen Design Custom Fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $350.00 | $350.00 | |
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $301.30 | $301.30 | $690.14 | |
BCBS
| Professional | $301.30 | $301.30 | $301.30 | |
Cigna
| Facility | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $512.29 | $559.15 | $626.01 | |
United
| Professional | $4,790.84 | $4,790.84 | $4,790.84 |
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