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Tibial Fracture Orthosis, Soft, Prefabricated

Pennsylvania 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?

$295

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $708 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$288$251 to $372
FacilityA hospital or hospital-owned outpatient department$708$251 to $1,230

How much rates vary

Facilitymedian $708 · 10th to 90th $251 to $2,951Professionalmedian $288 · 10th to 90th $229 to $617
$200$1K$5K$20Kfacility $708professional $288

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
$251.19
Median
$251.19
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$416.87
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
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,288.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$630.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$457.09
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$616.60
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,187.76
Typical High
$3,548.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$660.69

Where Pennsylvania 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.

Pennsylvania· 39th of 51

$295

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.