go back

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

Montana 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 October 2026.

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

$2,344

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $2,399 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$1,047 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,399$2,344 to $134,896

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,514 to $134,896Professionalmedian $2,239 · 10th to 90th $79 to $2,570
$100$1K$10K$100Kfacility $2,399professional $2,239

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,174.90
Typical High
$1,995.26
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$138,038.43
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$141,253.75
Providence
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,737.80

Where Montana sits

The same service costs 2.9 times more in Hawaii than in Delaware. 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.

Montana· 5th of 51

$2,344

HI $2,754DE $955

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.