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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Indiana rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $2,188 · 10th–90th $1,072$2,3440%20%40%10th90th$2,188Professionalmedian $1,072 · 10th–90th $871$1,6220%50%10th90th$1,072$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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$2,754.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,949.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,398.83
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,513.56