go back

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

Rhode Island 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?

$117

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $380 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$107 to $123
FacilityA hospital or hospital-owned outpatient department$380$302 to $437

How much rates vary

Facilitymedian $380 · 10th to 90th $257 to $479Professionalmedian $117 · 10th to 90th $87 to $174
$100$200$500facility $380professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$12.30
Typical High
$12.30
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$407.38
Typical High
$478.63
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$117.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$109.65
Typical High
$173.78

Where Rhode Island 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.

Rhode Island· 31st of 51

$117

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.