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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Mississippi rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $151$4170%20%40%10th90th$263Professionalmedian $200 · 10th–90th $155$3240%10%10th90th$200$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
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
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
$138.04
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$275.42
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$234.42