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Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pediatric

Idaho rates for HCPCS L2035

Knee-ankle-foot orthosis (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pediatric cost?

$155

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $200 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 8 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$151$93.33 to $204
FacilityA hospital or hospital-owned outpatient department$200$151 to $214

How much rates vary

Facilitymedian $200 · 10th to 90th $102 to $282Professionalmedian $151 · 10th to 90th $85 to $240
$1.0$10.0$100.0$1.0Kfacility $200professional $151

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
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$181.97
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$158.49
Typical High
$186.21
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$239.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$323.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$107.15
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$134.90

Where Idaho sits

The same service costs 6.8 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $155 · 12th of 51
KS $575DC $85.11

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.