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Lower Extremity Orthosis Addition, Lightweight Composite

New Jersey 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 $52 · 10th–90th $52$1580%50%90th$52Professionalmedian $76 · 10th–90th $52$1550%10%20%10th90th$76$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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$204.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$151.36