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

New Jersey 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?

$1,175

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,175 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$851 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,175$1,122 to $1,259

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,072 to $2,188Professionalmedian $1,175 · 10th to 90th $832 to $2,512
$1K$2Kfacility $1,175professional $1,175

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$83.18
Median
$83.18
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$3,311.31
Typical High
$3,311.31
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,398.83

Where New Jersey 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.

New Jersey· 26th of 51

$1,175

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.