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

Illinois 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?

$110

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $214 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 6 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$110$107 to $178
FacilityA hospital or hospital-owned outpatient department$214$107 to $380

How much rates vary

Facilitymedian $214 · 10th to 90th $107 to $1,072Professionalmedian $110 · 10th to 90th $98 to $214
$100$200$500$1K$2Kfacility $214professional $110

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
$107.15
Median
$107.15
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$309.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$181.97

Where Illinois sits

The same service costs 6.8 times more in Kansas 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.

Illinois· 36th of 51

$110

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.