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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Kentucky rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $129$4680%20%40%10th90th$182Professionalmedian $178 · 10th–90th $151$2140%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
$173.78
Median
$173.78
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$234.42