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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Arizona rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $98$7080%10%10th90th$295Professionalmedian $178 · 10th–90th $132$3630%20%10th90th$178$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$131.83
Median
$181.97
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$389.05
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$724.44
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
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$239.88
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$229.09