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

Indiana 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 July 2026.

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

$1,072

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $2,042 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 5 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$1,072$1,000 to $1,148
FacilityA hospital or hospital-owned outpatient department$2,042$1,122 to $2,042

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,000 to $2,188Professionalmedian $1,072 · 10th to 90th $891 to $1,698
$1K$2K$5Kfacility $2,042professional $1,072

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
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,041.74
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,995.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,511.89
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,445.44

Where Indiana sits

The same service costs 3.4 times more in Hawaii than in Washington, DC. 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.

Indiana· 34th of 51

$1,072

HI $2,818DC $832

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.