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

Texas 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.

Facilitymedian $158 · 10th–90th $93$3800%10%20%10th90th$158Professionalmedian $102 · 10th–90th $89$1580%20%10th90th$102$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$141.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$213.80
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$275.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$288.40