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Femoral Fracture Orthosis (KAFO), Thermoplastic

Illinois rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Rates data updated October 2026.

How much does Femoral Fracture Orthosis (KAFO), Thermoplastic cost?

$851

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $2,138 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$813$759 to $1,318
FacilityA hospital or hospital-owned outpatient department$2,138$1,738 to $3,548

How much rates vary

Facilitymedian $2,138 · 10th to 90th $851 to $8,913Professionalmedian $813 · 10th to 90th $617 to $1,820
$500$1K$2K$5K$10Kfacility $2,138professional $813

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$794.33
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$389.05
Median
$398.11
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$158.49
Median
$158.49
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$117.49
Median
$117.49
Typical High
$169.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$79.43
Median
$79.43
Typical High
$112.20
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$10,715.19
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,995.26
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$1,584.89
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$776.25
Typical High
$1,819.70

Where Illinois sits

The same service costs 3.0 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.

Illinois· 27th of 51

$851

HI $1,820DE $617

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.