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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Maine 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?

$200

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $372 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 6 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$200$182 to $316
FacilityA hospital or hospital-owned outpatient department$372$191 to $427

How much rates vary

Facilitymedian $372 · 10th to 90th $174 to $457Professionalmedian $200 · 10th to 90th $155 to $316
$100$200$500facility $372professional $200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$309.03
Typical High
$316.23

Where Maine 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.

Maine· 19th of 51

$200

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.