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Indiana rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.80 / $927.80 / $1,874.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.12 / $956.71 / $1,017.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.89 / $1,677.72 / $1,874.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.47 / $1,047.83 / $1,446.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.63 / $2,062.01 / $2,811.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.37 / $2,062.01 / $2,530.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,874.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,922.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $896.16 / $1,293.20