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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Michigan rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $1,047$8,7100%10%20%10th90th$2,399Professionalmedian $1,230 · 10th–90th $977$2,1380%20%10th90th$1,230$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
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,456.54
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,290.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
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
$1,380.38
Typical High
$2,187.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$4,073.80
Typical High
$4,570.88
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,630.27
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,778.28
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,513.56