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

North Carolina 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?

$170

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $182 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$162$110 to $182
FacilityA hospital or hospital-owned outpatient department$182$126 to $229

How much rates vary

Facilitymedian $182 · 10th to 90th $89 to $417Professionalmedian $162 · 10th to 90th $93 to $182
$1.0$10.0$100.0$1.0K$10.0Kfacility $182professional $162

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
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$147.91
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$144.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,548.82

Where North Carolina sits

The same service costs 6.8 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $170 · 10th of 51
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.