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Florida rates for HCPCS L1720

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.11 / $776.97 / $890.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.59 / $817.87 / $1,481.72
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 / $1,149.77
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.04 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.01 / $1,189.17 / $1,692.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.81 / $895.10 / $984.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.38 / $817.87 / $1,062.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.10 / $895.10 / $895.10