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Alaska rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.26 / $2,566.26 / $2,566.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $1,184.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.13 / $478.13 / $478.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.61 / $2,845.96 / $4,493.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.13 / $478.13 / $1,149.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,158.24 / $1,830.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.91 / $2,864.55 / $3,736.37