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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 July 2026.

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

$794

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $1,585 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$794$776 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,585$794 to $2,754

How much rates vary

Facilitymedian $1,585 · 10th to 90th $794 to $7,943Professionalmedian $794 · 10th to 90th $631 to $1,585
$500$1K$2K$5K$10Kfacility $1,585professional $794

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
$794.33
Median
$794.33
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,019.95
Typical High
$10,715.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,548.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$1,995.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,258.93
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,348.96

Where Illinois sits

The same service costs 3.0 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.

Illinois· 37th of 51

$794

HI $1,820DC $603

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.