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Lower Extremity Orthosis Addition, Lightweight Composite

North Dakota 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 $115 · 10th–90th $110$2240%50%10th90th$115Professionalmedian $148 · 10th–90th $85$1950%10%20%10th90th$148$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
Facility
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$186.21