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
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $80.00 | $200 |
| Deaconess Medical Center | — | $80.00 | $200 |
| Harborview Medical Center | — | $190 – $192 | $271 – $274 |
| Mary Bridge Children's Hospital | — | $80.00 | $200 |
| MultiCare Auburn Medical Center | — | $80.00 | $200 |
| MultiCare Covington Medical Center | — | $80.00 | $200 |
| MultiCare Good Samaritan Hospital | — | $80.00 | $200 |
| MultiCare Valley Hospital | — | $80.00 | $200 |
| Seattle Children's Hospital | $183 | $447 | $447 |
| Tacoma General Allenmore Hospital | — | $80.00 | $200 |
| University of Washington Medical Ctr | — | $269 | $385 |
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)