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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Minnesota rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $1,622$17,7830%20%10th90th$3,715Professionalmedian $2,138 · 10th–90th $1,148$2,5120%20%40%10th90th$2,138$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
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,128.31
Typical High
$22,387.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,818.38
Typical High
$3,162.28
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$8,912.51
Typical High
$17,782.79
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,137.96
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$891.25
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$3,019.95