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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.

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

$309

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $269 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$166 to $316
FacilityA hospital or hospital-owned outpatient department$269$155 to $631

How much rates vary

Facilitymedian $269 · 10th to 90th $155 to $1,660Professionalmedian $309 · 10th to 90th $155 to $468
$100$200$500$1K$2K$5Kfacility $269professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Massachusetts sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. 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.

Massachusetts· 5th of 51

$309

HI $372DC $123

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.