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

Maine 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?

$126

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $219 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$126$112 to $182
FacilityA hospital or hospital-owned outpatient department$219$148 to $245

How much rates vary

Facilitymedian $219 · 10th to 90th $117 to $263Professionalmedian $126 · 10th to 90th $91 to $182
$100$200$500facility $219professional $126

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$181.97

Where Maine 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.

Maine· 16th of 51

$126

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.