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Legg Perthes Orthosis, (Patten Bottom), Custom Fabricated

West Virginia rates for HCPCS L1755

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

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $1,047$2,5120%50%90th$1,047Professionalmedian $1,000 · 10th–90th $832$1,2880%20%40%10th90th$1,000$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,511.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,698.24