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Femoral Fracture Orthosis (KAFO), Custom Fabricated

Montana rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Rates data updated July 2026.

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

$1,820

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,905 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 6 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$1,549$955 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,905$1,622 to $2,042

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,259 to $2,344Professionalmedian $1,549 · 10th to 90th $617 to $3,715
$100$200$500$1K$2K$5K$10Kfacility $1,905professional $1,549

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
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$2,041.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$3,715.35
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,949.84
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,513.56
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$1,479.11

Where Montana sits

The same service costs 3.3 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.

Montana· 7th of 51

$1,820

HI $2,818DC $851

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.