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Arizona rates for HCPCS L1720

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.75 / $831.33 / $1,481.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.66 / $1,877.26 / $3,394.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.14 / $1,732.18 / $2,360.10
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 / $839.33 / $2,060.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.13 / $1,322.56 / $7,860.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.71 / $740.61 / $1,115.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.38 / $740.61 / $1,062.50