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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 October 2026.

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

$1,660

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $5,129 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$1,380 to $1,820
FacilityA hospital or hospital-owned outpatient department$5,129$4,074 to $5,888

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,818 to $6,457Professionalmedian $1,660 · 10th to 90th $955 to $2,291
$1K$2K$5Kfacility $5,129professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$676.08
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$269.15
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$204.17
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$134.90
Median
$165.96
Typical High
$165.96
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$5,495.41
Typical High
$6,456.54
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,479.11
Typical High
$2,290.87

Where Rhode Island 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.

Rhode Island· 17th of 51

$1,660

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.