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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Alaska rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $575$2,3440%20%40%10th90th$1,202Professionalmedian $1,318 · 10th–90th $1,000$3,3110%20%10th90th$1,318$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,818.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,737.80
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$5,495.41
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,344.23
Typical High
$2,454.71
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$2,454.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,318.26
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$6,025.60