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

Rhode Island 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?

$1,479

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $4,677 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,230 to $1,622
FacilityA hospital or hospital-owned outpatient department$4,677$3,631 to $5,248

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,570 to $5,754Professionalmedian $1,479 · 10th to 90th $851 to $2,089
$1K$2K$5Kfacility $4,677professional $1,479

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
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$181.97
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$147.91
Typical High
$147.91
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$5,011.87
Typical High
$5,754.40
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,089.30

Where Rhode Island 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.

Rhode Island· 17th of 51

$1,479

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.