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Knee-Ankle-Foot Orthosis, Single Upright, Rotation Control

North Carolina rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Single Upright, Rotation Control cost?

$1,905

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $2,188 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 6 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$1,905$1,259 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,188$1,622 to $2,692

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,023 to $4,169Professionalmedian $1,905 · 10th to 90th $1,096 to $2,188
$1K$2K$5K$10Kfacility $2,188professional $1,905

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
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,187.76
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,715.35
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,737.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,187.76
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,041.74
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,698.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$18,197.01

Where North Carolina sits

The same service costs 2.6 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.

North Carolina· 11th of 51

$1,905

HI $2,570DC $977

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.