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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Illinois 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?

$234

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $347 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 6 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$229$178 to $269
FacilityA hospital or hospital-owned outpatient department$347$178 to $617

How much rates vary

Facilitymedian $347 · 10th to 90th $178 to $1,778Professionalmedian $229 · 10th to 90th $162 to $347
$100$200$500$1K$2Kfacility $347professional $229

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
$177.83
Median
$177.83
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$426.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$302.00

Where Illinois 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.

Illinois· 14th of 51

$234

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.