go back

Femoral Fracture Orthosis (KAFO), Custom Fabricated

Rhode Island 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?

$1,259

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $4,266 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 4 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$1,259$1,122 to $1,479
FacilityA hospital or hospital-owned outpatient department$4,266$1,479 to $5,370

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,202 to $6,026Professionalmedian $1,259 · 10th to 90th $1,096 to $1,660
$1K$2K$5K$10Kfacility $4,266professional $1,259

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
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,128.61
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,137.96

Where Rhode Island 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.

Rhode Island· 16th of 51

$1,259

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.