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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Maryland rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $174 · 10th–90th $115$3090%20%10th90th$174Professionalmedian $151 · 10th–90th $123$2630%20%10th90th$151$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$245.47
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$263.03