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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 July 2026.

Facilitymedian $316 · 10th–90th $178$6920%20%10th90th$316Professionalmedian $209 · 10th–90th $138$2750%20%10th90th$209$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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$316.23
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$234.42