go back

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

Wisconsin 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.

Facilitymedian $617 · 10th–90th $447$1,2300%20%40%10th90th$617Professionalmedian $562 · 10th–90th $302$1,0230%20%10th90th$562$0.5$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
$302.00
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,412.54
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$891.25
Typical High
$1,148.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$758.58
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$288.40
Network Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Network Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$1,202.26
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$758.58
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$660.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,479.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,230.27
Typical High
$2,691.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$912.01
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$537.03