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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Michigan 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?

$195

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $417 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 7 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$195$174 to $347
FacilityA hospital or hospital-owned outpatient department$417$195 to $912

How much rates vary

Facilitymedian $417 · 10th to 90th $174 to $1,380Professionalmedian $195 · 10th to 90th $148 to $347
$10$100$1Kfacility $417professional $195

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,047.13
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
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
$190.55
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$660.69
Typical High
$724.44
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$416.87
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$281.84
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$245.47

Where Michigan 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.

Michigan· 22nd of 51

$195

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.