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Tibial Fracture Orthosis, Soft, Prefabricated

South Dakota 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?

$479

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $525 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 7 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$479$363 to $692
FacilityA hospital or hospital-owned outpatient department$525$479 to $603

How much rates vary

Facilitymedian $525 · 10th to 90th $363 to $724Professionalmedian $479 · 10th to 90th $331 to $871
$200$500$1K$2Kfacility $525professional $479

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
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$575.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$933.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81

Where South Dakota 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.

South Dakota· 5th of 51

$479

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.