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

Michigan 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?

$120

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $257 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 7 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$120$107 to $209
FacilityA hospital or hospital-owned outpatient department$257$120 to $550

How much rates vary

Facilitymedian $257 · 10th to 90th $107 to $851Professionalmedian $120 · 10th to 90th $98 to $209
$10$100$1Kfacility $257professional $120

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$630.96
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$234.42
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$398.11
Typical High
$446.68
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$257.04
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$169.82
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$147.91

Where Michigan 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.

Michigan· 19th of 51

$120

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.