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Knee-Ankle-Foot Orthosis, Multi-Axis Ankle

Pennsylvania 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?

$933

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $2,188 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$933$832 to $1,072
FacilityA hospital or hospital-owned outpatient department$2,188$851 to $3,715

How much rates vary

Facilitymedian $2,188 · 10th to 90th $851 to $8,913Professionalmedian $933 · 10th to 90th $741 to $1,479
$1K$2K$5K$10K$20K$50Kfacility $2,188professional $933

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
$851.14
Median
$851.14
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,348.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,089.30
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
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,818.38
Typical High
$4,073.80
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$2,089.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$3,235.94
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,348.96
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$7,413.10
Typical High
$12,022.64
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,949.84
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,905.46

Where Pennsylvania 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.

Pennsylvania· 32nd of 51

$933

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.