go back

Missouri rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.30 / $1,054.30 / $1,404.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.30 / $1,092.63 / $1,667.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.95 / $2,114.65 / $9,296.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.04 / $1,226.58 / $1,630.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,590.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.30 / $1,630.09 / $10,889.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.43 / $1,004.74 / $2,447.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.14 / $1,004.74 / $1,867.49