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

Utah 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 $100 · 10th–90th $65$2570%20%40%10th90th$100Professionalmedian $145 · 10th–90th $65$8710%10%20%10th90th$145$50.0$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
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$190.55
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$288.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$263.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$151.36