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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Maryland 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?

$347

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $316 to $407.

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.

How much rates vary

Facilitymedian $380 · 10th to 90th $245 to $776Professionalmedian $347 · 10th to 90th $316 to $575
$100.0$200.0$500.0$1.0K$2.0Kfacility $380professional $347

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
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$575.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$660.69

Where Maryland 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.

Maryland $347 · 46th 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.