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Tibial Fracture Orthosis, Soft, Prefabricated

Massachusetts rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Tibial Fracture Orthosis, Soft, Prefabricated cost?

$501

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $372 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$501$275 to $562
FacilityA hospital or hospital-owned outpatient department$372$275 to $1,047

How much rates vary

Facilitymedian $372 · 10th to 90th $275 to $2,951Professionalmedian $501 · 10th to 90th $263 to $813
$100$200$500$1K$2K$5Kfacility $372professional $501

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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$870.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$3,162.28
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$416.87
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$831.76
Health New England
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$3,162.28
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$331.13
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$512.86
Typical High
$602.56

Where Massachusetts sits

The same service costs 2.8 times more in Minnesota than in Vermont. 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.

Massachusetts· 4th of 51

$501

MN $603VT $214

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.