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Lower Extremity Orthosis Addition, Lightweight Composite

Kentucky 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 $85 · 10th–90th $63$2190%20%40%10th90th$85Professionalmedian $83 · 10th–90th $71$1000%50%10th90th$83$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
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$107.15