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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

Washington rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,778 · 10th–90th $1,230$4,1690%10%20%10th90th$1,778Professionalmedian $1,479 · 10th–90th $1,000$3,5480%10%20%10th90th$1,479$20.0$100.0$500.0$2.0K$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
$1,202.26
Median
$1,202.26
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$10,232.93
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$1,778.28
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,995.26
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,630.27
Typical High
$5,128.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,380.38
Typical High
$1,513.56
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$1,778.28
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$3,548.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$3,548.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,398.83
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,737.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,548.82
Typical High
$2,754.23