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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Indiana rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $170$3720%50%10th90th$347Professionalmedian $178 · 10th–90th $138$2750%50%10th90th$178$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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$263.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$239.88