Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Plastic mod low ext pad/line
Boulder, CO
See all hospitals reporting HCPCS L2275 →Price type
Boulder Community Health’s median price of $154 is 4% below the median hospital's median price ($161), higher than 30% of the 999 hospitals reporting HCPCS L2275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Anthem commercial professional · fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 4 | Anthem managed care professional · fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 5 | Aetna commercial professional · fee schedule · both | $135 | $135 | $41 | 31% | — | $94 – $177 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $154 | $154 | $17 | 11% | — | $137 – $171 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 9 | Humana medicare advantage professional · fee schedule · both | $171 | $171 | — | — | — | $171 – $171 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $175 | $175 | $1 | 0% | — | $175 – $176 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $185 | $185 | — | — | — | $185 – $185 |
| 15 | Kaiser commercial professional · fee schedule · both | $219 | $219 | — | — | — | $219 – $219 |
| 16 | MultiPlan commercial professional · fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 17 | Phcs commercial professional · fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 18 | Kaiser commercial facility · case rate · outpatient | $373 | $373 | $45 | 12% | — | $328 – $419 |
| 19 | Kaiser managed care facility · case rate · outpatient | $415 | $415 | — | — | — | $415 – $415 |
Last updated: Sep 16, 2026
See Padded orthotic brace addition for knee or ankle correction pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.