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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Iowa rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,514 · 10th–90th $891$5,0120%10%20%10th90th$1,514Professionalmedian $1,175 · 10th–90th $832$2,3440%20%10th90th$1,175$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
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,511.89
Typical High
$3,162.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,754.23
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$2,137.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$1,819.70