| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.49 | $29.49 | $43.79 | |
Cigna
| Facility | $52.95 | $52.95 | $52.95 | |
Cigna
| Professional | $38.65 | $38.65 | $52.95 | |
United
| Professional | $32.29 | $35.92 | $59.59 |
Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.49 | $29.49 | $43.79 | |
Cigna
| Facility | $52.95 | $52.95 | $52.95 | |
Cigna
| Professional | $38.65 | $38.65 | $52.95 | |
United
| Professional | $32.29 | $35.92 | $59.59 |