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Femoral Fracture Orthosis (KAFO), Thermoplastic

Michigan 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?

$1,259

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $2,188 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$871 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,188$851 to $4,467

How much rates vary

Facilitymedian $2,188 · 10th to 90th $851 to $6,761Professionalmedian $1,230 · 10th to 90th $741 to $1,585
$1K$2K$5K$10Kfacility $2,188professional $1,230

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
$891.25
Median
$1,548.82
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$446.68
Median
$446.68
Typical High
$776.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$177.83
Median
$177.83
Typical High
$309.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$134.90
Median
$134.90
Typical High
$229.09
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$89.13
Median
$89.13
Typical High
$154.88
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$4,570.88
Typical High
$8,511.38
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,548.82
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
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
$851.14
Typical High
$1,096.48
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$3,019.95
Typical High
$3,235.94
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,584.89
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Priority Health
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Priority Health
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$851.14
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$776.25
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$1,023.29

Where Michigan 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.

Michigan· 11th of 51

$1,259

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.