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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

New Jersey rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $631$1,8620%50%10th90th$676Professionalmedian $977 · 10th–90th $724$1,8200%10%20%10th90th$977$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
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
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,454.71
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,819.70