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Knee-Ankle-Foot Orthosis, Stance Control, Custom Fabricated

New Jersey 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

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Stance Control, Custom Fabricated cost?

$2,344

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $1,622 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 5 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$2,399$1,995 to $3,162
FacilityA hospital or hospital-owned outpatient department$1,622$1,622 to $2,754

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,622 to $4,898Professionalmedian $2,399 · 10th to 90th $1,862 to $4,786
$2K$5K$10K$20Kfacility $1,622professional $2,399

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
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,187.76
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,677.35
Typical High
$6,456.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$4,786.30

Where New Jersey sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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.

New Jersey· 44th of 51

$2,344

MN $4,898DC $1,950

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.