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Lower Extremity Orthosis Addition, Lightweight Composite

Rhode Island 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 October 2026.

How much does Lower Extremity Orthosis Addition, Lightweight Composite cost?

$87.10

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $282 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$74.13 to $91.20
FacilityA hospital or hospital-owned outpatient department$282$224 to $324

How much rates vary

Facilitymedian $282 · 10th to 90th $191 to $355Professionalmedian $87 · 10th to 90th $65 to $129
$100$200facility $282professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$302.00
Typical High
$354.81
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$87.10
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$81.28
Typical High
$128.82

Where Rhode Island sits

The same service costs 2.8 times more in Kansas than in Delaware. 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.

Rhode Island· 35th of 51

$87.10

KS $178DE $64.57

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.