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

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $2,291 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$1,202$1,096 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,291$1,820 to $2,512

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,202 to $3,631Professionalmedian $1,202 · 10th to 90th $955 to $2,344
$10.0$100.0$1.0K$10.0Kfacility $2,291professional $1,202

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
$1,202.26
Median
$1,621.81
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$2,951.21
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,511.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,511.89
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,621.81

Where Ohio 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.

Ohio $1,259 · 32nd 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.