Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated cost in Indiana
$1,191
Cash from
$1,191–$2,512
Cash range · 10 distinct prices
$898
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $1,191 | $898 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $1,403 | $1,067 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $1,594 | $1,123 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $1,594 | $1,123 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $1,594 | $1,123 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $1,382 | $1,179 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $1,603 | $2,234 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,750 | $2,077 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $2,114 | $2,234 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $2,154 | $2,234 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $2,512 | $2,234 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $2,267 | $2,234 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterKafo plas doub free knee mol
- Berger HospitalHc L2036 Kafo Custom Plastic Double Upright Custom
- Bethesda Hospital Inc.Kafo plas doub free knee mol
- Clinton Memorial HospitalKafo plas doub free knee mol
- Dayton Osteopathic HospitalKafo plas doub free knee mol
- Doctors HospitalHc L2036 Kafo Custom Plastic Double Upright Custom
- Dublin Methodist HospitalHc L2036 Kafo Custom Plastic Double Upright Custom
- Fairview HospitalKafo plas doub free knee mol
- Fort Hamilton HospitalKafo plas doub free knee mol
- Grady Memorial HospitalHc L2036 Kafo Custom Plastic Double Upright Custom
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.