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Femoral Fracture Orthosis (KAFO), Thermoplastic

New York 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?

$851

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,072 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 9 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$832$794 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,072$776 to $1,820

How much rates vary

Facilitymedian $1,072 · 10th to 90th $708 to $2,754Professionalmedian $832 · 10th to 90th $631 to $2,512
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,072professional $832

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
$776.25
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$2,884.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,513.56
Typical High
$1,513.56
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$912.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$7,079.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$3,467.37
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$891.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,737.80
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$2,951.21
Univera
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,071.52
Univera
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15

Where New York 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 York $851 · 25th 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.