| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $350.00 | $500.50 | |
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 |
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 | $500.50 | |
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 |