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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

New Hampshire rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $1,349$2,9510%20%10th90th$2,399Professionalmedian $1,445 · 10th–90th $933$2,0890%20%10th90th$1,445$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
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,348.96
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,380.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$2,089.30
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,388.44