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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

South Dakota 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 $794 · 10th–90th $550$1,0960%10%20%10th90th$794Professionalmedian $708 · 10th–90th $525$1,3490%10%20%10th90th$708$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$933.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14