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

New York 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?

$115

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $132 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 9 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$115$105 to $166
FacilityA hospital or hospital-owned outpatient department$132$105 to $214

How much rates vary

Facilitymedian $132 · 10th to 90th $91 to $316Professionalmedian $115 · 10th to 90th $87 to $309
$1.0$10.0$100.0$1.0K$10.0Kfacility $132professional $115

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
$100.00
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$354.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$173.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$151.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$812.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$398.11
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$131.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$346.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$128.82
Typical High
$138.04
Univera
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$131.83

Where New York 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 York $115 · 28th 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.