Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.99 | $656.99 | $870.98 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,030.36 | |
Cigna
| Professional | $752.17 | $752.17 | $752.17 | |
United
| Professional | $659.83 | $796.42 | $1,199.69 |