| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $57.00 | $57.00 | |
Aetna
| Professional | $45.60 | $57.00 | $57.00 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $25.09 | $33.20 | $36.89 |
Cervical Thoracic Lumbar Sacral Orthosis Immobolizer Infant Size
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $57.00 | $57.00 | |
Aetna
| Professional | $45.60 | $57.00 | $57.00 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $25.09 | $33.20 | $36.89 |