go back

Femoral Fracture Orthosis (KAFO), Rigid, Prefabricated

Illinois rates for HCPCS L2136

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

Rates data updated October 2026.

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

$977

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $2,089 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$977$759 to $1,175
FacilityA hospital or hospital-owned outpatient department$2,089$1,698 to $3,548

How much rates vary

Facilitymedian $2,089 · 10th to 90th $832 to $8,913Professionalmedian $977 · 10th to 90th $603 to $1,778
$500$1K$2K$5K$10Kfacility $2,089professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$776.25
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$389.05
Median
$389.05
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$154.88
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$114.82
Median
$117.49
Typical High
$165.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$77.62
Median
$77.62
Typical High
$112.20
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$10,471.29
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,995.26
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,548.82
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$758.58
Typical High
$1,778.28

Where Illinois sits

The same service costs 4.4 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.

Illinois· 19th of 51

$977

HI $2,239KS $513

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.