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Legg Perthes Orthosis, (Tachdijan Type), Custom Fabricated

South Dakota rates for HCPCS L1720

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

Rates data updated July 2026.

Facilitymedian $1,514 · 10th–90th $1,072$2,0890%20%10th90th$1,514Professionalmedian $1,380 · 10th–90th $1,023$2,5700%10%20%10th90th$1,380$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$13,182.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80