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

Pennsylvania 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?

$977

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $3,090 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 8 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$977$851 to $1,202
FacilityA hospital or hospital-owned outpatient department$3,090$933 to $6,310

How much rates vary

Facilitymedian $3,090 · 10th to 90th $832 to $10,000Professionalmedian $977 · 10th to 90th $832 to $1,549
$1K$2K$5K$10K$20K$50Kfacility $3,090professional $977

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
$831.76
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,548.82
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
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
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$4,786.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$2,041.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$3,235.94
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,621.81
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,413.10
Typical High
$11,748.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$2,238.72

Where Pennsylvania 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.

Pennsylvania· 45th of 51

$977

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.