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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

South Carolina rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,148 · 10th–90th $912$2,5120%20%10th90th$1,148Professionalmedian $977 · 10th–90th $794$1,6220%20%10th90th$977$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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,511.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,513.56
Typical High
$3,090.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,288.25