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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 October 2026.

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

$282

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $501 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$195 to $347
FacilityA hospital or hospital-owned outpatient department$501$191 to $1,000

How much rates vary

Facilitymedian $501 · 10th to 90th $191 to $1,514Professionalmedian $275 · 10th to 90th $162 to $347
$200$500$1K$2Kfacility $501professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$100.00
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$39.81
Typical High
$69.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.20
Median
$30.20
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.95
Median
$19.95
Typical High
$34.67
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,023.29
Typical High
$1,905.46
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$346.74
Typical High
$346.74
CareSource
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$676.08
Typical High
$724.44
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$275.42
Typical High
$354.81
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Priority Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Priority Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$173.78
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$162.18
Typical High
$234.42

Where Michigan sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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· 14th of 51

$282

HI $372DE $138

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.