| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.50 | $47.91 | $47.91 | |
Cigna
| Facility | $73.27 | $73.27 | $73.27 | |
Cigna
| Professional | $53.49 | $53.49 | $73.27 | |
United
| Professional | $40.17 | $58.08 | $87.49 |
Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.50 | $47.91 | $47.91 | |
Cigna
| Facility | $73.27 | $73.27 | $73.27 | |
Cigna
| Professional | $53.49 | $53.49 | $73.27 | |
United
| Professional | $40.17 | $58.08 | $87.49 |