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

Tennessee 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?

$955

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,514 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 5 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$955$871 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,514$955 to $12,023

How much rates vary

Facilitymedian $1,514 · 10th to 90th $933 to $12,023Professionalmedian $955 · 10th to 90th $851 to $1,622
$1K$2K$5K$10Kfacility $1,514professional $955

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
$870.96
Median
$954.99
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,348.96

Where Tennessee 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.

Tennessee· 47th of 51

$955

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.