go back

West Virginia rates for HCPCS L1720

Legg Perthes Orthosis Trilateral (Tachdijan Type) Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.94 / $766.94 / $766.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.95 / $734.00 / $766.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.91 / $2,044.00 / $2,666.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.94 / $1,184.52 / $2,030.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,983.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $1,149.77 / $8,095.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.74 / $780.94 / $1,234.34