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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Georgia rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $162$1,2880%20%10th90th$347Professionalmedian $200 · 10th–90th $151$3390%20%10th90th$200$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
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$831.76
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
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
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$467.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$331.13