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Lower Extremity Orthosis Addition, Lightweight Composite

Alaska 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

Rates data updated July 2026.

Facilitymedian $79 · 10th–90th $46$1580%20%40%10th90th$79Professionalmedian $93 · 10th–90th $78$2140%10%20%10th90th$93$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$109.65
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$467.74
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$158.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$158.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$389.05