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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 July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright 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 $1,549 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$1,318$1,072 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,549$1,047 to $2,188

How much rates vary

Facilitymedian $1,549 · 10th to 90th $676 to $2,692Professionalmedian $1,318 · 10th to 90th $1,000 to $2,818
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,549professional $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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,584.89

Where New Mexico sits

The same service costs 3.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $1,318 · 23rd of 51
HI $2,754DC $891

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.