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Lower Extremity Orthosis Addition, Lightweight Composite

Illinois 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 $174 · 10th–90th $81$8130%20%10th90th$174Professionalmedian $98 · 10th–90th $74$1620%20%10th90th$98$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
$81.28
Median
$81.28
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$173.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$218.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$134.90