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Lower Extremity Orthosis Addition, Lightweight Composite

Maryland 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 $79 · 10th–90th $52$1580%10%10th90th$79Professionalmedian $74 · 10th–90th $63$1290%20%40%10th90th$74$50.0$100.0$200.0$500.0

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
$63.10
Median
$67.61
Typical High
$125.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$123.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$131.83