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Tibial Fracture Orthosis (AFO), Rigid, Prefabricated

West Virginia rates for HCPCS L2116

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

Rates data updated July 2026.

How much does Tibial Fracture Orthosis (AFO), Rigid, Prefabricated cost?

$437

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $457 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$437$427 to $457
FacilityA hospital or hospital-owned outpatient department$457$457 to $501

How much rates vary

Facilitymedian $457 · 10th to 90th $457 to $1,175Professionalmedian $437 · 10th to 90th $363 to $537
$500.0$1.0K$2.0K$5.0Kfacility $457professional $437

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,174.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$741.31

Where West Virginia sits

The same service costs 3.9 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.

West Virginia $437 · 42nd of 51
HI $1,413DC $363

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.