Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panels, 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, shoulder straps, pendulous abdomen design, custom fabricated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $638.30 | $638.30 | $732.12 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,115.23 | |
Cigna
| Professional | $814.12 | $814.12 | $1,115.23 | |
United
| Professional | $586.76 | $773.78 | $1,165.58 |