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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Hawaii rates for HCPCS L2114

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

Rates data updated July 2026.

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

$1,122

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $389 to $1,122.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $407 · 10th to 90th $324 to $871Professionalmedian $1,122 · 10th to 90th $295 to $1,175
$500.0$1.0K$2.0Kfacility $407professional $1,122

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
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,023.29
Typical High
$1,380.38
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,380.38

Where Hawaii sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $1,122 · 1st of 51
HI $1,122DC $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.