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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Minnesota rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $589 · 10th–90th $295$2,8180%20%10th90th$589Professionalmedian $347 · 10th–90th $200$3980%20%40%10th90th$347$0.5$2.0$10.0$50.0$200.0$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
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$501.19
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,818.38
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$346.74
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$151.36
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$478.63