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Femoral Fracture Orthosis (KAFO), Custom Fabricated

West 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?

$1,047

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,072 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$1,047$977 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,072$1,072 to $1,072

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,072 to $2,630Professionalmedian $1,047 · 10th to 90th $851 to $1,318
$1K$2K$5K$10Kfacility $1,072professional $1,047

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
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,630.27
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,737.80

Where West 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.

West Virginia· 39th of 51

$1,047

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.