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Lower Extremity Orthosis Addition, Lightweight Composite

Minnesota 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 $269 · 10th–90th $135$1,2880%20%10th90th$269Professionalmedian $158 · 10th–90th $93$1820%50%10th90th$158$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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$234.42
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,288.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$158.49
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$69.18
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$223.87