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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Florida rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $145$6460%20%10th90th$178Professionalmedian $178 · 10th–90th $138$2950%20%10th90th$178$0.2$1.0$5.0$20.0$100.0$500.0

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
$144.54
Median
$165.96
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$295.12
AvMed
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
AvMed
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$208.93
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$229.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$346.74