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Femoral Fracture Orthosis (KAFO), Thermoplastic

New Jersey 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?

$813

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $617 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$813$631 to $1,122
FacilityA hospital or hospital-owned outpatient department$617$617 to $871

How much rates vary

Facilitymedian $617 · 10th to 90th $617 to $1,820Professionalmedian $813 · 10th to 90th $603 to $1,778
$500.0$1.0K$2.0K$5.0Kfacility $617professional $813

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
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$851.14
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$851.14
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,398.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,778.28

Where New Jersey sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $813 · 30th of 51
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.