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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Nationwide rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $141$7940%20%10th90th$257Professionalmedian $186 · 10th–90th $138$3470%20%40%10th90th$186$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$125.89
Median
$181.97
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$316.23