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

Montana 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?

$1,820

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,820 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 6 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$1,514$977 to $1,820
FacilityA hospital or hospital-owned outpatient department$1,820$1,549 to $1,950

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,230 to $2,291Professionalmedian $1,514 · 10th to 90th $603 to $3,548
$100$200$500$1K$2K$5K$10Kfacility $1,820professional $1,514

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
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$3,548.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$3,548.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,570.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,479.11
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,445.44

Where Montana 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.

Montana· 6th of 51

$1,820

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.