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Lower Extremity Orthosis Addition, Lightweight Composite

Tennessee 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?

$79.43

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $89.13 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$69.18 to $120
FacilityA hospital or hospital-owned outpatient department$89.13$89.13 to $89.13

How much rates vary

Facilitymedian $89 · 10th to 90th $78 to $93Professionalmedian $79 · 10th to 90th $65 to $813
$50$100$200$500$1Kfacility $89professional $79

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$70.79
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$35.48
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$14.13
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.47
Median
$10.72
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$7.08
Typical High
$7.76
Ambetter
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$75.86
Typical High
$93.33

Where Tennessee 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.

Tennessee· 44th of 51

$79.43

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.