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Tibial Fracture Orthosis, Soft, Prefabricated

Virginia 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?

$316

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $631 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 8 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$316$295 to $398
FacilityA hospital or hospital-owned outpatient department$631$407 to $631

How much rates vary

Facilitymedian $631 · 10th to 90th $302 to $776Professionalmedian $316 · 10th to 90th $251 to $562
$200$500$1K$2K$5K$10Kfacility $631professional $316

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
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$660.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$776.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,348.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$489.78

Where Virginia 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.

Virginia· 28th of 51

$316

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.