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Femoral Fracture Orthosis (KAFO), Thermoplastic

Montana 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?

$1,318

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,479 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$1,175$617 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,479$1,175 to $1,585

How much rates vary

Facilitymedian $1,479 · 10th to 90th $933 to $1,862Professionalmedian $1,175 · 10th to 90th $437 to $2,884
$100$200$500$1K$2K$5Kfacility $1,479professional $1,175

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
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$1,584.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,884.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,884.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,202.26
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$1,023.29

Where Montana 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.

Montana· 6th of 51

$1,318

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.