go back

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

New York 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?

$1,288

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,738 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 9 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$1,288$1,259 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,738$1,259 to $3,162

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,047 to $5,248Professionalmedian $1,288 · 10th to 90th $955 to $3,802
$10.0$100.0$1.0K$10.0Kfacility $1,738professional $1,288

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
$954.99
Median
$1,737.80
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,623.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,288.25
Typical High
$3,981.07
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,344.23
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,677.35
Typical High
$10,964.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$5,370.32
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,778.28
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,691.53
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,778.28
Typical High
$4,466.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,737.80
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,778.28

Where New York 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.

New York $1,288 · 26th 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.