| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $44.67 | $44.67 | $60.26 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
United
| Facility | $302.00 | $302.00 | $302.00 |
Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $44.67 | $44.67 | $60.26 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
United
| Facility | $302.00 | $302.00 | $302.00 |