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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Arkansas rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $219$891,2510%10%20%10th90th$380,189Professionalmedian $178 · 10th–90th $100$2190%20%40%10th90th$178$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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$234.42