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Knee-Ankle-Foot Orthosis, Double Upright, Free Ankle

Montana rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom fabricated

Rates data updated July 2026.

Facilitymedian $1,288 · 10th–90th $851$1,6220%20%40%10th90th$1,288Professionalmedian $1,000 · 10th–90th $427$2,5120%10%20%10th90th$1,000$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$1,380.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$2,511.89
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$2,511.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,000.00