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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 October 2026.

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

$170

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $115 to $178.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $89 to $132Professionalmedian $170 · 10th to 90th $105 to $182
$100$200facility $132professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$52.48
Median
$52.48
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
HMSA
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$169.82
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$181.97
Typical High
$181.97
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where Hawaii sits

The same service costs 2.8 times more in Kansas than in Delaware. 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 $178DE $64.57

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.