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Lower Extremity Orthosis Addition, Lightweight Composite

Massachusetts 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 $107 · 10th–90th $68$7410%20%10th90th$107Professionalmedian $135 · 10th–90th $68$2040%20%40%10th90th$135$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$213.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$741.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$204.17
Health New England
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$91.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$741.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$128.82
Typical High
$144.54