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Nationwide rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $83.18 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $87.10 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $83.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $123.03