go back

Lower Extremity Orthosis Addition, Lightweight Composite

Oregon 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 $151 · 10th–90th $117$1550%50%10th90th$151Professionalmedian $110 · 10th–90th $65$1740%10%20%10th90th$110$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$309.03
Typical High
$380.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$173.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$154.88
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$158.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$162.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$602.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$77.62
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$134.90