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Other Lower Extremity Orthosis

Pennsylvania rates for HCPCS L2999

Lower extremity orthoses, not otherwise specified

Rates data updated July 2026.

How much does Other Lower Extremity Orthosis cost?

$195

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $794 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 6 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$26.30$15.14 to $251
FacilityA hospital or hospital-owned outpatient department$794$263 to $1,318

How much rates vary

Facilitymedian $794 · 10th to 90th $263 to $1,318Professionalmedian $26 · 10th to 90th $1 to $64,565
$10$100$1K$10Kfacility $794professional $26

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
$263.03
Median
$794.33
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$251.19
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$15.14
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$169.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$794.33
Typical High
$1,318.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$134.90
Typical High
$912.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,000.00
Typical High
$1,584.89
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98

Where Pennsylvania sits

The same service costs 7244359.6 times more in Arkansas than in Louisiana. 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.

Pennsylvania· 3rd of 51

$195

AR $218,776LA $0.03

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.