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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Texas rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,380 · 10th–90th $794$4,3650%10%20%10th90th$1,380Professionalmedian $933 · 10th–90th $741$1,4450%20%40%10th90th$933$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
$794.33
Median
$831.76
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,318.26
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,754.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,288.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$2,454.71