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Femoral Fracture Orthosis (KAFO), Thermoplastic

South Dakota 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?

$1,202

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,445 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 7 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$1,047 to $1,778
FacilityA hospital or hospital-owned outpatient department$1,445$1,096 to $1,585

How much rates vary

Facilitymedian $1,445 · 10th to 90th $912 to $2,089Professionalmedian $1,175 · 10th to 90th $851 to $2,239
$1K$2K$5Kfacility $1,445professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,479.11
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,819.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96

Where South Dakota 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.

South Dakota· 7th of 51

$1,202

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.