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Femoral Fracture Orthosis (KAFO), Rigid, Prefabricated

Pennsylvania 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?

$692

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $2,188 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$692$603 to $851
FacilityA hospital or hospital-owned outpatient department$2,188$661 to $4,571

How much rates vary

Facilitymedian $2,188 · 10th to 90th $603 to $7,079Professionalmedian $692 · 10th to 90th $589 to $1,122
$500$1K$2K$5K$10K$20K$50Kfacility $2,188professional $692

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
$602.56
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,122.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
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
$831.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$3,467.37
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,479.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,290.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,122.02
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$5,248.07
Typical High
$8,317.64
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,548.82

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$692

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.