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Tibial Fracture Orthosis, Semi-Rigid, Prefabricated

West Virginia 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?

$380

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $398 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$380$355 to $398
FacilityA hospital or hospital-owned outpatient department$398$398 to $407

How much rates vary

Facilitymedian $398 · 10th to 90th $398 to $891Professionalmedian $380 · 10th to 90th $316 to $490
$200$500$1K$2Kfacility $398professional $380

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
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$645.65

Where West Virginia sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 35th of 51

$380

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.