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Femoral Fracture Orthosis (KAFO), Thermoplastic

West Virginia rates for HCPCS L2126

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated

Rates data updated October 2026.

How much does Femoral Fracture Orthosis (KAFO), Thermoplastic cost?

$759

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $851 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$692 to $1,000
FacilityA hospital or hospital-owned outpatient department$851$851 to $1,549

How much rates vary

Facilitymedian $851 · 10th to 90th $776 to $2,138Professionalmedian $759 · 10th to 90th $617 to $1,660
$500$1K$2K$5Kfacility $851professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$7,413.10
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$776.25
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$831.76
Typical High
$1,659.59

Where West Virginia sits

The same service costs 3.0 times more in Hawaii than in Delaware. 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.

West Virginia· 44th of 51

$759

HI $1,820DE $617

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.