go back

Lower Extremity Orthosis Addition, Lightweight Composite

Hawaii 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.

How much does Lower Extremity Orthosis Addition, Lightweight Composite cost?

$170

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $93.33 to $170.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $69 to $132Professionalmedian $170 · 10th to 90th $52 to $178
$100$200facility $89professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$208.93
HMSA
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$208.93

Where Hawaii sits

The same service costs 2.8 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 2nd of 51

$170

KS $178DC $63.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.