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Knee-Ankle-Foot Orthosis, Single Upright, Rotation Control

New Mexico rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Single Upright, Rotation Control cost?

$1,318

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,585 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 5 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$1,318$1,096 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,585$1,023 to $2,291

How much rates vary

Facilitymedian $1,585 · 10th to 90th $708 to $2,570Professionalmedian $1,318 · 10th to 90th $933 to $3,802
$200$500$1K$2K$5K$10Kfacility $1,585professional $1,318

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
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$3,801.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,698.24
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,659.59

Where New Mexico sits

The same service costs 2.6 times more in Hawaii 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.

New Mexico· 32nd of 51

$1,318

HI $2,570DC $977

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.