HCPCS L2755
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $135 – $1,048 | $80.00 | $200 |
| Deaconess Medical Center | $74.30 – $652 | $80.00 | $200 |
| Harborview Medical Center | $251 – $314 | $190 – $192 | $271 – $274 |
| Kadlec Regional Medical Center | $236 – $440 | — | — |
| Mary Bridge Children's Hospital | $129 – $1,150 | $80.00 | $200 |
| MultiCare Auburn Medical Center | $131 – $677 | $80.00 | $200 |
| MultiCare Covington Medical Center | $131 – $677 | $80.00 | $200 |
| MultiCare Good Samaritan Hospital | $131 – $677 | $80.00 | $200 |
| MultiCare Valley Hospital | $74.30 – $651 | $80.00 | $200 |
| Overlake Hospital Medical Center & Clinics | $144 – $431 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $243 – $520 | — | — |
| Providence Centralia Hospital | $265 – $586 | — | — |
| Providence Regional Medical Center Everett | $188 – $364 | — | — |
| Providence St Peter Hospital | $133 – $512 | — | — |
| Seattle Children's Hospital | $241 – $429 | $447 | $447 |
| Swedish Edmonds Hospital | $235 – $575 | — | — |
| Swedish Issaquah | $235 – $348 | — | — |
| Swedish Medical Center | $235 – $560 | — | — |
| Swedish Medical Center / Cherry Hill | $235 – $560 | — | — |
| Tacoma General Allenmore Hospital | $131 – $677 | $80.00 | $200 |
| University of Washington Medical Ctr | $251 – $492 | $269 | $385 |
| Virginia Mason Medical Center | $150 – $545 | — | — |
| Wellfound Behavioral Health Hospital | $396 | — | — |
| Yakima Valley Memorial | $135 – $407 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $157 (fee)