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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Montana 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?

$347

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $347 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$151 to $347
FacilityA hospital or hospital-owned outpatient department$347$339 to $19,055

How much rates vary

Facilitymedian $347 · 10th to 90th $219 to $19,498Professionalmedian $324 · 10th to 90th $79 to $372
$100$500$2K$10Kfacility $347professional $324

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
Professional
Modifier
None
Typical Low
$97.72
Median
$181.97
Typical High
$323.59
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$346.74
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$426.58
Typical High
$19,952.62
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$20,417.38
Providence
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$346.74
Typical High
$346.74
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$263.03
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$151.36
Typical High
$251.19

Where Montana 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.

Montana· 2nd of 51

$347

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.