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

Illinois rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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, Single Upright cost?

$1,259

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $2,754 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$1,000 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,754$2,239 to $4,677

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,175 to $11,749Professionalmedian $1,259 · 10th to 90th $851 to $2,344
$1K$2K$5K$10K$20Kfacility $2,754professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$512.86
Median
$512.86
Typical High
$741.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$204.17
Median
$204.17
Typical High
$295.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$154.88
Median
$154.88
Typical High
$223.87
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$102.33
Median
$102.33
Typical High
$147.91
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$13,803.84
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$2,884.03
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$2,041.74
Typical High
$3,090.30
United
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,000.00
Typical High
$2,344.23

Where Illinois sits

The same service costs 3.3 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.

Illinois· 23rd of 51

$1,259

HI $2,818DE $851

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.