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Alabama rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.99 / $1,675.99 / $1,675.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.36 / $1,675.99 / $1,675.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.09 / $1,383.09 / $1,383.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $2,157.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.24 / $889.85 / $1,340.43