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Alaska rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.50 / $2,632.50 / $2,632.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,249.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $554.10 / $554.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.80 / $2,919.43 / $4,609.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $554.10 / $1,212.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,249.01 / $2,168.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.43 / $2,299.67 / $3,832.80