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Idaho rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.94 / $1,367.47 / $1,367.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,241.49
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 / $1,172.45 / $1,561.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.52 / $1,483.61 / $1,561.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,152.52 / $1,372.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.47 / $1,525.09 / $2,287.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.18 / $1,093.18 / $1,639.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.76 / $740.61 / $1,141.26