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Tibial Fracture Orthosis, Soft, Prefabricated

West 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?

$302

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $316 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 4 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$302$288 to $316
FacilityA hospital or hospital-owned outpatient department$316$316 to $316

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $776Professionalmedian $302 · 10th to 90th $251 to $389
$200$500$1K$2Kfacility $316professional $302

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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$776.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$512.86

Where West 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.

West Virginia· 36th of 51

$302

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.