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

Michigan 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?

$1,349

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $4,266 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 8 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$1,318$1,122 to $2,239
FacilityA hospital or hospital-owned outpatient department$4,266$1,318 to $4,467

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,288 to $8,511Professionalmedian $1,318 · 10th to 90th $1,047 to $2,291
$10.0$100.0$1.0K$10.0Kfacility $4,266professional $1,318

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
$1,288.25
Median
$4,265.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,760.83
Typical High
$12,882.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,344.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,570.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,265.80
Typical High
$4,786.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$2,754.23
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,819.70
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,584.89

Where Michigan 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.

Michigan $1,349 · 21st 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.