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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 July 2026.

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

$1,905

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $2,239 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$1,778$1,047 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,239$1,778 to $2,399

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,445 to $2,818Professionalmedian $1,778 · 10th to 90th $676 to $2,818
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,239professional $1,778

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
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$4,365.16
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,584.89

Where Montana 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.

Montana $1,905 · 10th 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.