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

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,230 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 4 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$1,175$1,148 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,230$1,230 to $1,230

How much rates vary

Facilitymedian $1,230 · 10th to 90th $1,230 to $3,388Professionalmedian $1,175 · 10th to 90th $977 to $1,585
$1K$2K$5K$10Kfacility $1,230professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$3,388.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$1,995.26

Where West Virginia 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.

West Virginia· 46th 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.