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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Massachusetts rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $2,951 · 10th–90th $1,047$4,3650%20%10th90th$2,951Professionalmedian $1,905 · 10th–90th $977$3,1620%20%10th90th$1,905$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
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$3,311.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$11,481.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,862.09
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,445.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,162.28
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$11,481.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,862.09
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,862.09
Typical High
$2,089.30