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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Iowa rates for HCPCS L2116

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $407$2,2390%20%10th90th$692Professionalmedian $537 · 10th–90th $245$9550%10%20%10th90th$537$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,071.52
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,071.52
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,258.93
Midlands
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$851.14