Lumbar-sacral orthosis (LSO), sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.79 | $862.79 | $862.79 | |
Aetna
| Professional | $499.87 | $862.79 | $862.79 | |
BCBS
| Professional | $713.21 | $713.21 | $713.21 | |
Cigna
| Facility | $659.19 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $918.47 | |
United
| Professional | $367.59 | $620.41 | $865.02 |