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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Kansas rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $98$3390%20%40%10th90th$257Professionalmedian $316 · 10th–90th $158$3160%50%10th$316$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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$229.09
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$234.42