Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS 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
$38.90 / $51.29 / $97.72
Facility
$38.90
$51.29
$97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $95.50
Professional
$38.90
$47.86
$95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $190.55
Facility
$37.15
$51.29
$190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $51.29 / $109.65
Professional
$47.86
$51.29
$109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $354.81
Facility
$61.66
$61.66
$354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $138.04
Professional
$44.67
$44.67
$138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $109.65
Facility
$31.62
$47.86
$109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $83.18
Professional
$33.88
$48.98
$83.18
See more rates by state
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