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Knee-Ankle-Foot Orthosis, Multi-Axis Ankle

Maine rates for HCPCS L2038

Knee-ankle-foot orthosis (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Multi-Axis Ankle cost?

$1,318

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $2,239 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 6 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$1,318$933 to $1,862
FacilityA hospital or hospital-owned outpatient department$2,239$1,023 to $2,570

How much rates vary

Facilitymedian $2,239 · 10th to 90th $912 to $2,692Professionalmedian $1,318 · 10th to 90th $741 to $1,862
$1K$2K$5Kfacility $2,239professional $1,318

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. 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
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,238.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,778.28
Typical High
$1,862.09

Where Maine sits

The same service costs 2.6 times more in Hawaii than in Nevada. 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.

Maine· 12th of 51

$1,318

HI $1,950NV $759

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.