| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.93 | $37.93 | $51.58 | |
Cigna
| Facility | $60.55 | $60.55 | $60.55 | |
Cigna
| Professional | $44.20 | $44.20 | $60.55 | |
United
| Professional | $36.60 | $45.98 | $67.59 |
Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric pad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.93 | $37.93 | $51.58 | |
Cigna
| Facility | $60.55 | $60.55 | $60.55 | |
Cigna
| Professional | $44.20 | $44.20 | $60.55 | |
United
| Professional | $36.60 | $45.98 | $67.59 |