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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Oklahoma rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $813$2,1380%20%40%10th90th$933Professionalmedian $851 · 10th–90th $741$1,3490%20%10th90th$851$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
$812.83
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,071.52
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
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,288.25