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

Pennsylvania 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?

$102

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $331 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 8 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$102$91.20 to $132
FacilityA hospital or hospital-owned outpatient department$331$135 to $741

How much rates vary

Facilitymedian $331 · 10th to 90th $85 to $1,096Professionalmedian $102 · 10th to 90th $85 to $204
$100$1K$10Kfacility $331professional $102

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
$85.11
Median
$85.11
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$144.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
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
$147.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$398.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$331.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$173.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$741.31
Typical High
$1,202.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$213.80

Where Pennsylvania 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.

Pennsylvania· 43rd of 51

$102

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.