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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Alaska rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $98$3470%20%40%10th90th$182Professionalmedian $195 · 10th–90th $166$4680%20%10th90th$195$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$245.47
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$1,023.29
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$346.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$190.55
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$851.14