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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.

How much does Ankle-Foot Orthosis, Spring Wire, Custom Fabricated cost?

$204

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $263 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$162 to $309
FacilityA hospital or hospital-owned outpatient department$263$200 to $490

How much rates vary

Facilitymedian $263 · 10th to 90th $166 to $851Professionalmedian $200 · 10th to 90th $126 to $398
$100$200$500$1Kfacility $263professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Iowa sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 18th of 51

$204

HI $372DC $123

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.