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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Tennessee rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $891$11,4820%20%10th90th$1,479Professionalmedian $912 · 10th–90th $813$1,5490%20%40%10th90th$912$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$831.76
Median
$912.01
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,380.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$11,481.54
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,288.25