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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Iowa rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $166$8510%20%10th90th$263Professionalmedian $200 · 10th–90th $126$3980%10%20%10th90th$200$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
$181.97
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$467.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$524.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$316.23