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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

North Dakota rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $240$4900%50%90th$240Professionalmedian $309 · 10th–90th $182$4070%10%20%10th90th$309$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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$407.38