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Femoral Fracture Orthosis (KAFO), Custom Fabricated

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $2,138 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 8 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$1,096$1,047 to $1,413
FacilityA hospital or hospital-owned outpatient department$2,138$1,413 to $2,138

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,047 to $2,692Professionalmedian $1,096 · 10th to 90th $851 to $1,905
$1K$2K$5K$10Kfacility $2,138professional $1,096

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
$851.14
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,398.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$3,019.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$2,089.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,691.53
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$4,466.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,698.24

Where Virginia 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.

Virginia· 23rd 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.