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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Utah rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $575$1,7780%20%40%10th90th$891Professionalmedian $1,072 · 10th–90th $575$10,2330%10%20%10th90th$1,072$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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
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
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,288.25
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,995.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,819.70
Typical High
$1,819.70
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,348.96