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Lower Extremity Orthosis Addition, Lightweight Composite

Iowa 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 $120 · 10th–90th $74$3980%10%20%10th90th$120Professionalmedian $100 · 10th–90th $63$1820%10%20%10th90th$100$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$218.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$158.49
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$77.62
Typical High
$158.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$154.88