Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated cost in Indiana
$1,622
Cash from
$1,622–$3,420
Cash range · 10 distinct prices
$1,223
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 | $1,622 | $1,223 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $1,910 | $1,452 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $2,170 | $1,529 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $2,170 | $1,529 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $2,170 | $1,529 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $1,882 | $1,605 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $3,420 | $1,998 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $2,182 | $1,998 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $3,087 | $1,998 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $2,879 | $1,998 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $2,383 | $1,998 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $2,933 | $1,998 | 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 sing free knee mol
- Berger HospitalKafo plas sing free knee mol
- Bethesda Hospital Inc.Kafo plas sing free knee mol
- Clinton Memorial HospitalKafo plas sing free knee mol
- Dayton Osteopathic HospitalKafo plas sing free knee mol
- Fairview HospitalKafo plas sing free knee mol
- Fort Hamilton HospitalKafo plas sing free knee mol
- Greene Memorial Hospital IncKafo plas sing free knee mol
- HEART HOSP OF AUSTINKnee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKKnee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated
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.