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

New York 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?

$1,175

Typical negotiated rate. In New York, July 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 $1,585 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 9 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$1,175$1,122 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,585$1,072 to $2,570

How much rates vary

Facilitymedian $1,585 · 10th to 90th $977 to $3,802Professionalmedian $1,175 · 10th to 90th $851 to $3,311
$1K$2K$5K$10K$20K$50Kfacility $1,585professional $1,175

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
$831.76
Median
$1,071.52
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$3,548.13
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,041.74
Typical High
$2,041.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
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
$1,258.93
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,168.69
Typical High
$9,549.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$4,786.30
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$1,584.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,584.89
Typical High
$4,073.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,659.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$1,584.89

Where New York 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.

New York· 20th of 51

$1,175

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.