| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.60 | $38.60 | $52.70 | |
Cigna
| Facility | $66.78 | $66.78 | $66.78 | |
Cigna
| Professional | $48.75 | $48.75 | $66.78 | |
United
| Professional | $36.33 | $46.79 | $171.56 |
Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.60 | $38.60 | $52.70 | |
Cigna
| Facility | $66.78 | $66.78 | $66.78 | |
Cigna
| Professional | $48.75 | $48.75 | $66.78 | |
United
| Professional | $36.33 | $46.79 | $171.56 |