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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

Montana 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?

$631

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $646 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 6 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$589$347 to $646
FacilityA hospital or hospital-owned outpatient department$646$537 to $692

How much rates vary

Facilitymedian $646 · 10th to 90th $407 to $871Professionalmedian $589 · 10th to 90th $209 to $813
$100.0$200.0$500.0$1.0K$2.0Kfacility $646professional $589

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
$208.93
Median
$398.11
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$691.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,258.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$524.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$501.19

Where Montana 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.

Montana $631 · 5th 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.