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Tibial Fracture Orthosis, Soft, Prefabricated

Maine 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?

$389

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $661 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$389$316 to $562
FacilityA hospital or hospital-owned outpatient department$661$331 to $759

How much rates vary

Facilitymedian $661 · 10th to 90th $324 to $813Professionalmedian $389 · 10th to 90th $275 to $562
$200$500$1Kfacility $661professional $389

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$660.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$549.54
Typical High
$562.34

Where Maine 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.

Maine· 12th of 51

$389

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.