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Lower Extremity Orthosis Addition, Lightweight Composite

South 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.

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

$135

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$110 to $182
FacilityA hospital or hospital-owned outpatient department$148$117 to $174

How much rates vary

Facilitymedian $148 · 10th to 90th $107 to $219Professionalmedian $135 · 10th to 90th $93 to $229
$50.0$100.0$200.0$500.0facility $148professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$134.90
Avera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$173.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$186.21
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88

Where South Dakota sits

The same service costs 2.8 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $135 · 8th of 51
KS $178DC $63.10

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.