Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior 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
$112.20 / $147.91 / $501.19
Facility
$112.20
$147.91
$501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $144.54 / $218.78
Professional
$112.20
$144.54
$218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $616.60
Facility
$114.82
$154.88
$616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $154.88 / $338.84
Professional
$141.25
$154.88
$338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $1,071.52
Facility
$186.21
$186.21
$1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $416.87
Professional
$134.90
$134.90
$416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $338.84
Facility
$95.50
$165.96
$338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $138.04 / $263.03
Professional
$97.72
$138.04
$263.03
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