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Femoral Fracture Orthosis (KAFO), Thermoplastic

Pennsylvania 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?

$708

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $2,188 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 8 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$708$631 to $851
FacilityA hospital or hospital-owned outpatient department$2,188$661 to $4,677

How much rates vary

Facilitymedian $2,188 · 10th to 90th $603 to $7,244Professionalmedian $708 · 10th to 90th $603 to $1,122
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,188professional $708

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
$602.56
Median
$602.56
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,122.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
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
$851.14
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$3,467.37
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,513.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,344.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,122.02
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,370.32
Typical High
$8,511.38
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,584.89

Where Pennsylvania 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.

Pennsylvania $708 · 46th 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.