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Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright

New Jersey rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Rates data updated October 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright cost?

$1,318

Typical negotiated rate. In New Jersey, October 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 $1,318 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$955 to $2,818
FacilityA hospital or hospital-owned outpatient department$1,318$1,122 to $1,318

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,122 to $2,399Professionalmedian $1,318 · 10th to 90th $955 to $2,818
$1K$2Kfacility $1,318professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$478.63
Median
$478.63
Typical High
$602.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$190.55
Median
$190.55
Typical High
$239.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$141.25
Median
$141.25
Typical High
$181.97
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$95.50
Median
$95.50
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$3,715.35
Typical High
$3,715.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,691.53

Where New Jersey sits

The same service costs 2.9 times more in Hawaii than in Delaware. 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 Jersey· 26th of 51

$1,318

HI $2,754DE $955

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.