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

New Mexico 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?

$112

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $148 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 6 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$93.33 to $158
FacilityA hospital or hospital-owned outpatient department$148$93.33 to $200

How much rates vary

Facilitymedian $148 · 10th to 90th $60 to $229Professionalmedian $112 · 10th to 90th $81 to $316
$100.0$200.0$500.0$1.0Kfacility $148professional $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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$154.88
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$141.25

Where New Mexico 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.

New Mexico $112 · 31st 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.