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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 October 2026.

How much does Lower Extremity Orthosis Addition, Lightweight Composite cost?

$155

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $166 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$89.13 to $166
FacilityA hospital or hospital-owned outpatient department$166$162 to $9,333

How much rates vary

Facilitymedian $166 · 10th to 90th $105 to $9,550Professionalmedian $155 · 10th to 90th $71 to $178
$100$200$500$1K$2K$5K$10Kfacility $166professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$93.33
Typical High
$147.91
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$165.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$204.17
Typical High
$9,549.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$177.83
Typical High
$10,000.00
Providence
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$165.96
Typical High
$165.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$70.79
Typical High
$117.49

Where Montana sits

The same service costs 2.8 times more in Kansas than in Delaware. 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

$155

KS $178DE $64.57

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.