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Femoral Fracture Orthosis (KAFO), Custom Fabricated

New Jersey 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?

$1,023

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $794 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 5 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$1,023$912 to $1,479
FacilityA hospital or hospital-owned outpatient department$794$794 to $1,259

How much rates vary

Facilitymedian $794 · 10th to 90th $794 to $2,399Professionalmedian $1,023 · 10th to 90th $794 to $2,344
$1K$2K$5K$10Kfacility $794professional $1,023

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
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$3,090.30
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,290.87

Where New Jersey 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.

New Jersey· 42nd of 51

$1,023

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.