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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 July 2026.

Facilitymedian $126 · 10th–90th $69$7410%20%10th90th$126Professionalmedian $76 · 10th–90th $68$1320%50%10th90th$76$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$70.79
Median
$77.62
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$104.71