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

Tennessee 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 $162 · 10th–90th $100$1,0720%20%10th90th$162Professionalmedian $100 · 10th–90th $91$1740%20%40%10th90th$100$0.2$1.0$5.0$20.0$100.0$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
Facility
Modifier
Global
Typical Low
$93.33
Median
$100.00
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$97.72
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$144.54