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

Washington 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 $174$5010%20%10th90th$251Professionalmedian $214 · 10th–90th $105$3980%10%10th90th$214$2.0$10.0$50.0$200.0$1.0K

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
$173.78
Median
$173.78
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$870.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$257.04
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$288.40
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$218.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$257.04
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$380.19
Typical High
$512.86
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$269.15
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$398.11