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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 October 2026.

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

$112

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$107 to $204
FacilityA hospital or hospital-owned outpatient department$288$245 to $525

How much rates vary

Facilitymedian $288 · 10th to 90th $148 to $1,202Professionalmedian $110 · 10th to 90th $95 to $257
$100$200$500$1K$2Kfacility $288professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$53.70
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$21.38
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.22
Median
$16.22
Typical High
$23.99
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$10.72
Typical High
$15.85
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$354.81
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$218.78
Typical High
$302.00
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$173.78
United
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$104.71
Typical High
$245.47

Where Illinois sits

The same service costs 5.4 times more in Kansas than in West Virginia. 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· 39th of 51

$112

KS $575WV $107

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.