Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad
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
$40.74 / $57.54 / $295.12
Facility
$40.74
$57.54
$295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $95.50
Professional
$39.81
$52.48
$95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $218.78
Facility
$39.81
$54.95
$218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $53.70 / $120.23
Professional
$51.29
$53.70
$120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $407.38
Facility
$63.10
$63.10
$407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $158.49
Professional
$45.71
$45.71
$158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $120.23
Facility
$33.88
$56.23
$120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $89.13
Professional
$36.31
$51.29
$89.13
See more rates by state
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