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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Nebraska rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $151$1,5850%20%10th90th$324Professionalmedian $182 · 10th–90th $120$2630%50%10th90th$182$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
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$851.14
Midlands
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$794.33
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$245.47