Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $741.31
Facility
$128.82
$186.21
$741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $257.04
Professional
$128.82
$158.49
$257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $186.21 / $724.44
Facility
$134.90
$186.21
$724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $389.05
Professional
$147.91
$181.97
$389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $1,096.48
Facility
$190.55
$190.55
$1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $426.58
Professional
$138.04
$138.04
$426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $190.55 / $398.11
Facility
$112.20
$190.55
$398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $302.00
Professional
$114.82
$147.91
$302.00
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