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Lower Extremity Orthosis Addition, Lightweight Composite

Utah 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?

$93.33

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $70.79 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 7 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$93.33$64.57 to $145
FacilityA hospital or hospital-owned outpatient department$70.79$45.71 to $158

How much rates vary

Facilitymedian $71 · 10th to 90th $46 to $158Professionalmedian $93 · 10th to 90th $46 to $661
$50$100$200$500facility $71professional $93

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$660.69
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
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$151.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$158.49
Typical High
$162.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$107.15

Where Utah sits

The same service costs 2.8 times more in Kansas than in Washington, DC. 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.

Utah· 21st of 51

$93.33

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.