go back

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

New Jersey 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?

$107

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $70.79 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 5 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$107$85.11 to $132
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $148

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $209Professionalmedian $107 · 10th to 90th $79 to $209
$100.0$200.0$500.0$1.0Kfacility $71professional $107

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$275.42
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$208.93

Where New Jersey 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.

New Jersey $107 · 37th 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.