go back

Tennessee rates for HCPCS L1720

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.30 / $761.30 / $831.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.50 / $803.60 / $1,424.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.22 / $1,522.95 / $1,522.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.54 / $1,149.77 / $1,149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,644.02 / $7,860.20 / $9,402.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,164.93 / $13,480.88 / $13,480.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.82 / $806.57 / $1,115.63