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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

Utah 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 $398 · 10th–90th $257$7940%20%40%10th90th$398Professionalmedian $417 · 10th–90th $240$4,6770%10%10th90th$417$50.0$100.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$588.84
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$891.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$812.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$616.60