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

Michigan 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?

$1,148

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $2,570 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 7 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$1,148$1,023 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,570$1,148 to $5,248

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,122 to $8,128Professionalmedian $1,148 · 10th to 90th $933 to $1,995
$100$1K$10Kfacility $2,570professional $1,148

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
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,025.60
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$2,344.23
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,801.89
Typical High
$4,265.80
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,454.71
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,621.81
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,445.44

Where Michigan 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.

Michigan· 23rd of 51

$1,148

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.