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Knee-Ankle-Foot Orthosis, Multi-Axis Ankle

New York 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?

$1,047

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,318 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 9 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$1,023$933 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,318$1,000 to $2,188

How much rates vary

Facilitymedian $1,318 · 10th to 90th $851 to $3,236Professionalmedian $1,023 · 10th to 90th $741 to $3,020
$1K$2K$5K$10K$20K$50Kfacility $1,318professional $1,023

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
$724.44
Median
$1,000.00
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$3,388.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,778.28
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,071.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,548.13
Typical High
$8,317.64
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$4,073.80
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,348.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$3,467.37
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,318.26
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,348.96

Where New York 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.

New York· 17th of 51

$1,047

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.