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Lower Extremity Orthosis Addition, Lightweight Composite

New Hampshire 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 $158 · 10th–90th $87$1910%20%40%10th90th$158Professionalmedian $93 · 10th–90th $68$1350%20%10th90th$93$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
$87.10
Median
$87.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$165.96
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$134.90
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$218.78