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Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright

Connecticut rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright cost?

$1,259

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,380 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$1,259$1,023 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,380$1,230 to $2,818

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,023 to $2,818Professionalmedian $1,259 · 10th to 90th $891 to $2,455
$1.0K$2.0K$5.0K$10.0Kfacility $1,380professional $1,259

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
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,818.38
Typical High
$3,388.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$3,162.28
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,454.71

Where Connecticut sits

The same service costs 3.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $1,259 · 34th of 51
HI $2,754DC $891

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.