| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.93 | $82.93 | $101.30 | |
Cigna
| Facility | $144.01 | $144.01 | $144.01 | |
Cigna
| Professional | $105.13 | $105.13 | $144.01 | |
United
| Professional | $71.68 | $100.52 | $136.28 |
Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.93 | $82.93 | $101.30 | |
Cigna
| Facility | $144.01 | $144.01 | $144.01 | |
Cigna
| Professional | $105.13 | $105.13 | $144.01 | |
United
| Professional | $71.68 | $100.52 | $136.28 |