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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 October 2026.

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

$1,905

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $1,950 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$1,820$933 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,950$1,905 to $109,648

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,259 to $112,202Professionalmedian $1,820 · 10th to 90th $79 to $2,089
$100$1K$10K$100Kfacility $1,950professional $1,820

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
Professional
Modifier
None
Typical Low
$602.56
Median
$1,047.13
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,398.83
Typical High
$112,201.85
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$117,489.76
Providence
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,479.11
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$933.25
Typical High
$1,548.82

Where Montana 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.

Montana· 7th of 51

$1,905

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.