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

Montana 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?

$214

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $224 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$93.33 to $224
FacilityA hospital or hospital-owned outpatient department$224$214 to $12,303

How much rates vary

Facilitymedian $224 · 10th to 90th $158 to $12,589Professionalmedian $200 · 10th to 90th $79 to $234
$100$200$500$1K$2K$5K$10Kfacility $224professional $200

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
Professional
Modifier
None
Typical Low
$60.26
Median
$109.65
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$223.87
Typical High
$223.87
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$269.15
Typical High
$12,589.25
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$234.42
Typical High
$13,182.57
Providence
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$223.87
Typical High
$223.87
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$165.96
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$93.33
Typical High
$154.88

Where Montana 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.

Montana· 3rd of 51

$214

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.