go back

Femoral Fracture Orthosis (KAFO), Rigid, Prefabricated

New York rates for HCPCS L2136

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

Rates data updated July 2026.

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

$851

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,122 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 9 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$813$776 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,122$776 to $1,820

How much rates vary

Facilitymedian $1,122 · 10th to 90th $692 to $2,692Professionalmedian $813 · 10th to 90th $603 to $2,512
$500$1K$2K$5K$10K$20K$50Kfacility $1,122professional $813

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
$602.56
Median
$776.25
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$2,818.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,479.11
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$891.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$6,918.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,905.46
Typical High
$3,467.37
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,122.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$3,019.95
Univera
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,122.02
Univera
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,122.02

Where New York sits

The same service costs 4.6 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.

New York· 17th of 51

$851

HI $2,239KS $490

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.