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Legg Perthes Orthosis, (Tachdijan Type), Custom Fabricated

Utah rates for HCPCS L1720

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

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $479$1,4790%20%40%10th90th$741Professionalmedian $891 · 10th–90th $479$8,5110%10%10th90th$891$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,071.52
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,737.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,513.56
Typical High
$1,584.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,122.02