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Femoral Fracture Orthosis (KAFO), Thermoplastic

North Carolina 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?

$1,175

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 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 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$1,175$832 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,349$851 to $1,698

How much rates vary

Facilitymedian $1,349 · 10th to 90th $661 to $2,884Professionalmedian $1,175 · 10th to 90th $661 to $1,349
$500$1K$2K$5Kfacility $1,349professional $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
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,348.96
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,348.96
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,023.29
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,071.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$13,489.63

Where North Carolina 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.

North Carolina· 8th of 51

$1,175

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.