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

Wisconsin 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 $182$5010%50%10th90th$251Professionalmedian $229 · 10th–90th $120$3890%20%10th90th$229$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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$575.44
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$363.08
Typical High
$467.74
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$309.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$158.49
Network Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Network Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$489.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$309.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$245.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$602.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$501.19
Typical High
$1,071.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$371.54
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$218.78