go back

Femoral Fracture Orthosis (KAFO), Custom Fabricated

New York 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?

$1,148

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 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 9 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$1,148$1,023 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,445$1,096 to $2,399

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,000 to $3,548Professionalmedian $1,148 · 10th to 90th $871 to $3,388
$1K$2K$5K$10K$20K$50Kfacility $1,445professional $1,148

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
$1,023.29
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,786.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$3,715.35
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$1,949.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,288.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$9,120.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$4,466.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,258.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,479.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,548.82
Typical High
$3,801.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,445.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,479.11

Where New York 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 York· 27th of 51

$1,148

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.