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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Illinois rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $2,188 · 10th–90th $1,096$11,2200%20%10th90th$2,188Professionalmedian $1,096 · 10th–90th $832$2,1880%20%40%10th90th$1,096$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,096.48
Median
$1,096.48
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,187.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$2,691.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,905.46