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Knee-Ankle-Foot Orthosis, Single Upright, without Knee Joint

Pennsylvania rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Single Upright, without Knee Joint cost?

$550

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,778 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 9 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$537$501 to $661
FacilityA hospital or hospital-owned outpatient department$1,778$603 to $3,981

How much rates vary

Facilitymedian $1,778 · 10th to 90th $457 to $5,888Professionalmedian $537 · 10th to 90th $457 to $933
$500$1K$2K$5K$10K$20K$50Kfacility $1,778professional $537

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
$457.09
Median
$457.09
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$870.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,691.53
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,778.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$933.25
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,073.80
Typical High
$6,456.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$1,174.90

Where Pennsylvania sits

The same service costs 4.9 times more in Hawaii 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.

Pennsylvania· 43rd of 51

$550

HI $2,239DC $457

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.