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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Massachusetts rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $155$1,6600%10%20%10th90th$269Professionalmedian $309 · 10th–90th $155$4680%20%10th90th$309$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$1,659.59
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$239.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
Health New England
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$1,659.59
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$316.23