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

Utah 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?

$1,122

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $933 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 7 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$1,122$851 to $1,950
FacilityA hospital or hospital-owned outpatient department$933$603 to $1,862

How much rates vary

Facilitymedian $933 · 10th to 90th $603 to $1,862Professionalmedian $1,122 · 10th to 90th $603 to $10,965
$1K$2K$5K$10Kfacility $933professional $1,122

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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,380.38
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$1,862.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,511.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,905.46
Typical High
$2,290.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,445.44

Where Utah 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.

Utah· 25th of 51

$1,122

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.