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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 July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pediatric cost?

$117

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $347 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 4 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$110$93.33 to $123
FacilityA hospital or hospital-owned outpatient department$347$148 to $437

How much rates vary

Facilitymedian $347 · 10th to 90th $145 to $479Professionalmedian $110 · 10th to 90th $91 to $141
$100.0$200.0$500.0$1.0Kfacility $347professional $110

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. 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
Global
Typical Low
$91.20
Median
$100.00
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$173.78

Where Rhode Island 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.

Rhode Island $117 · 23rd 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.