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Lower Extremity Orthosis Addition, Lightweight Composite

North Carolina 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?

$120

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $138 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 7 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$120$81.28 to $138
FacilityA hospital or hospital-owned outpatient department$138$89.13 to $166

How much rates vary

Facilitymedian $138 · 10th to 90th $66 to $275Professionalmedian $120 · 10th to 90th $69 to $138
$50$100$200$500facility $138professional $120

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
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$109.65
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,148.15

Where North Carolina 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.

North Carolina· 11th of 51

$120

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.