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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

New Mexico rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,288 · 10th–90th $575$2,1380%10%20%10th90th$1,288Professionalmedian $1,072 · 10th–90th $871$3,0900%20%10th90th$1,072$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
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,691.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,348.96
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$1,348.96