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

New Mexico rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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, Single Upright cost?

$1,122

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,349 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$1,122$933 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,349$933 to $1,905

How much rates vary

Facilitymedian $1,349 · 10th to 90th $603 to $2,512Professionalmedian $1,122 · 10th to 90th $891 to $2,951
$1K$2K$5K$10Kfacility $1,349professional $1,122

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,412.54
Typical High
$2,398.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,412.54

Where New Mexico sits

The same service costs 3.4 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· 24th of 51

$1,122

HI $2,818DC $832

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.