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Lower Extremity Orthosis Addition, Lightweight Composite

Montana 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?

$138

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $155 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$123$79.43 to $155
FacilityA hospital or hospital-owned outpatient department$155$123 to $166

How much rates vary

Facilitymedian $155 · 10th to 90th $98 to $195Professionalmedian $123 · 10th to 90th $52 to $195
$50$100$200$500facility $155professional $123

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
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$165.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$107.15

Where Montana 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.

Montana· 6th of 51

$138

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.