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Femoral Fracture Orthosis (KAFO), Semi-Rigid, Prefabricated

North Carolina rates for HCPCS L2134

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Femoral Fracture Orthosis (KAFO), Semi-Rigid, Prefabricated cost?

$891

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $955 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 6 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$832$631 to $955
FacilityA hospital or hospital-owned outpatient department$955$676 to $1,259

How much rates vary

Facilitymedian $955 · 10th to 90th $490 to $2,188Professionalmedian $832 · 10th to 90th $501 to $955
$500$1K$2K$5Kfacility $955professional $832

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
$954.99
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$954.99
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$812.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$954.99
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$10,964.78

Where North Carolina sits

The same service costs 4.0 times more in Hawaii than in Kansas. 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.

North Carolina· 11th of 51

$891

HI $1,660KS $417

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.