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

Rhode Island 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?

$1,380

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $4,677 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 4 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$1,349$1,230 to $1,660
FacilityA hospital or hospital-owned outpatient department$4,677$1,622 to $5,754

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,318 to $6,457Professionalmedian $1,349 · 10th to 90th $1,230 to $1,820
$1.0K$2.0K$5.0K$10.0Kfacility $4,677professional $1,349

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,495.41
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,290.87

Where Rhode Island 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.

Rhode Island $1,380 · 17th 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.