go back

Alaska rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.96 / $1,892.96 / $1,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $1,057.34 / $1,057.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $1,089.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.67 / $410.67 / $410.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.83 / $2,099.28 / $3,314.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.67 / $410.67 / $1,057.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.87 / $1,057.34 / $1,561.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.04 / $2,113.00 / $2,756.09