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Hip-Knee-Ankle-Foot Orthosis, Ball Bearing Hip Joint

Pennsylvania rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Rates data updated July 2026.

How much does Hip-Knee-Ankle-Foot Orthosis, Ball Bearing Hip Joint cost?

$251

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $676 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$224 to $316
FacilityA hospital or hospital-owned outpatient department$676$204 to $891

How much rates vary

Facilitymedian $676 · 10th to 90th $204 to $2,399Professionalmedian $245 · 10th to 90th $204 to $447
$200$1K$5K$20Kfacility $676professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$446.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$389.05
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$954.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$501.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$794.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$457.09
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,778.28
Typical High
$2,884.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$501.19

Where Pennsylvania sits

The same service costs 4.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 45th of 51

$251

HI $891DC $204

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.