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

New Jersey 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?

$1,175

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $832 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$1,230$977 to $1,585
FacilityA hospital or hospital-owned outpatient department$832$832 to $1,622

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $2,512Professionalmedian $1,230 · 10th to 90th $933 to $2,455
$1K$2K$5K$10Kfacility $832professional $1,230

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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,398.83
Typical High
$3,311.31
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$2,398.83

Where New Jersey 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.

New Jersey· 43rd of 51

$1,175

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.