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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Alaska rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does Tibial Fracture Orthosis, Semi-Rigid, Prefabricated cost?

$1,000

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $891 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,000$631 to $1,000
FacilityA hospital or hospital-owned outpatient department$891$407 to $1,000

How much rates vary

Facilitymedian $891 · 10th to 90th $407 to $1,047Professionalmedian $1,000 · 10th to 90th $389 to $1,175
$200$500$1K$2Kfacility $891professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$1,000.00
Typical High
$1,258.93
Moda Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$1,000.00
Typical High
$1,047.13
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,023.29
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$407.38
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$407.38
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$512.86
Typical High
$1,778.28

Where Alaska sits

The same service costs 3.5 times more in Hawaii than in Delaware. 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.

Alaska· 2nd of 51

$1,000

HI $1,122DE $316

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.