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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Montana rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,738 · 10th–90th $1,318$2,1880%20%10th90th$1,738Professionalmedian $1,380 · 10th–90th $575$3,3880%10%20%10th90th$1,380$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$1,862.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$3,388.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$3,388.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,412.54
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$1,348.96