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Kentucky rates for HCPCS L1720

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.62 / $869.74 / $901.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.95 / $869.74 / $954.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.38 / $1,692.17 / $1,778.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.46 / $869.33 / $904.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.13 / $2,284.42 / $2,843.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.56 / $2,115.21 / $2,792.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,983.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $8,095.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.33 / $1,078.46 / $1,348.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.79 / $802.33 / $1,135.35