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Lower Extremity Orthosis Addition, Lightweight Composite

Indiana 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?

$85.11

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$77.62 to $89.13
FacilityA hospital or hospital-owned outpatient department$162$85.11 to $162

How much rates vary

Facilitymedian $162 · 10th to 90th $78 to $200Professionalmedian $81 · 10th to 90th $68 to $129
$50$100$200facility $162professional $81

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$112.20

Where Indiana 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.

Indiana· 33rd of 51

$85.11

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.