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Hip-Knee-Ankle-Foot Orthosis, Bilateral Rotation Straps

Montana rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $158$3160%20%40%10th90th$251Professionalmedian $195 · 10th–90th $68$4900%10%20%10th90th$195$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$489.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$489.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$295.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$151.36