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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Arizona rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $575$4,6770%10%10th90th$1,950Professionalmedian $1,000 · 10th–90th $794$2,3440%20%10th90th$1,000$2.0$10.0$50.0$200.0$1.0K$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
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,454.71
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$4,570.88
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
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,584.89
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,949.84
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,348.96