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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

New Hampshire rates for HCPCS L1900

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

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Spring Wire, Custom Fabricated cost?

$240

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $363 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$186 to $316
FacilityA hospital or hospital-owned outpatient department$363$240 to $389

How much rates vary

Facilitymedian $363 · 10th to 90th $200 to $447Professionalmedian $219 · 10th to 90th $138 to $316
$200$500$1Kfacility $363professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$316.23
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$512.86

Where New Hampshire sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. 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.

New Hampshire· 13th of 51

$240

HI $372DC $123

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.