Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic 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 / $158.49
Facility
$40.74
$57.54
$158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $97.72
Professional
$39.81
$52.48
$97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $53.70 / $208.93
Facility
$38.90
$53.70
$208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $120.23
Professional
$50.12
$54.95
$120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $70.79 / $426.58
Facility
$69.18
$70.79
$426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $165.96
Professional
$51.29
$51.29
$165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $114.82
Facility
$33.11
$50.12
$114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $87.10
Professional
$35.48
$51.29
$87.10
See more rates by state
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