go back

Lower Extremity Orthosis Addition, Lightweight Composite

Idaho 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 $148 · 10th–90th $78$1950%20%40%10th90th$148Professionalmedian $105 · 10th–90th $63$1740%10%20%10th90th$105$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$131.83
Typical High
$169.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$109.65
Typical High
$134.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$151.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$79.43
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$100.00