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Maryland rates for HCPCS L1720

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.59 / $663.50 / $1,160.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.19 / $870.19 / $1,014.81
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.16 / $1,484.52 / $2,137.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.69 / $740.61 / $1,180.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.39 / $889.39 / $1,039.16