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

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $209 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$112$102 to $138
FacilityA hospital or hospital-owned outpatient department$209$138 to $209

How much rates vary

Facilitymedian $209 · 10th to 90th $102 to $263Professionalmedian $112 · 10th to 90th $85 to $195
$1.0$10.0$100.0$1.0K$10.0Kfacility $209professional $112

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
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$204.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$263.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$602.56
Sentara
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$165.96

Where Virginia 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.

Virginia $115 · 29th 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.