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

New Mexico 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?

$1,660

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,660 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$1,072 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,318$676 to $1,585

How much rates vary

Facilitymedian $1,318 · 10th to 90th $676 to $1,698Professionalmedian $1,660 · 10th to 90th $955 to $2,818
$1K$2K$5Kfacility $1,318professional $1,660

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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$1,659.59
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,318.26
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,584.89

Where New Mexico 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 Mexico· 18th of 51

$1,660

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.