go back

Nebraska rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.99 / $1,111.99 / $1,111.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,111.99 / $1,443.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.55 / $1,685.80 / $1,702.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,918.08 / $1,918.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.77 / $1,918.08 / $2,957.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.48 / $1,908.64 / $7,860.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.94 / $869.92 / $1,449.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,912.47 / $1,918.08 / $2,416.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.00 / $2,255.21 / $3,951.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.60 / $869.92 / $1,114.51