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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Idaho rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $316 · 10th–90th $174$4370%20%10th90th$316Professionalmedian $240 · 10th–90th $123$3800%20%10th90th$240$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
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$288.40
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$239.88
Typical High
$295.12
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$380.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$173.78
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$218.78