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Nationwide rates for HCPCS L1620

Hip Orthosis Abduction Control Of Hip Joints Flexible (Pavlik Harness) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.30 / $91.27 / $131.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $89.71 / $129.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.40 / $181.44 / $334.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.40 / $94.06 / $129.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.36 / $117.36 / $126.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $117.36 / $126.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $81.25 / $125.94