go back

California rates for HCPCS L2005

Knee-ankle-foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated

Facilitymedian $2,570 · 10th–90th $1,995–$11,7490%20%10th90th$2,570Professionalmedian $2,692 · 10th–90th $2,042–$18,1970%20%10th90th$2,692$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,570.40 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,818.38 / $7,079.46
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,079.46 / $11,220.18
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,912.51 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,754.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,235.94 / $5,888.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,466.84 / $7,585.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $23,442.29
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25,118.86 / $36,307.81 / $36,307.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,466.84 / $6,165.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $4,677.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,311.31 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $2,187.76 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,454.71 / $5,248.07