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Lower Extremity Orthosis Addition, Lightweight Composite

Delaware 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 $0$890%50%10th90th$79Professionalmedian $66 · 10th–90th $63$5890%50%10th90th$66$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$588.84
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
$93.33
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$69.18
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$114.82