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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.

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

$240

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $316 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$240$151 to $324
FacilityA hospital or hospital-owned outpatient department$316$240 to $339

How much rates vary

Facilitymedian $316 · 10th to 90th $174 to $437Professionalmedian $240 · 10th to 90th $123 to $380
$100$200$500$1Kfacility $316professional $240

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
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

Where Idaho 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.

Idaho· 12th of 51

$240

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.