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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Missouri rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $955$3,0900%20%10th90th$1,479Professionalmedian $1,096 · 10th–90th $871$2,1880%50%10th90th$1,096$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
$954.99
Median
$954.99
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$6,456.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,621.81