go back

Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Louisiana rates for HCPCS L1900

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

Rates data updated October 2026.

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

$209

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $427 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$138 to $282
FacilityA hospital or hospital-owned outpatient department$427$302 to $631

How much rates vary

Facilitymedian $427 · 10th to 90th $191 to $794Professionalmedian $209 · 10th to 90th $138 to $282
$100$200$500$1Kfacility $427professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$245.47
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$112.20
Typical High
$123.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$44.67
Typical High
$48.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$31.62
Median
$33.88
Typical High
$36.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$22.39
Typical High
$24.55
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$588.84
Typical High
$831.76
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$177.83
Typical High
$229.09

Where Louisiana sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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.

Louisiana· 21st of 51

$209

HI $372DE $138

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.