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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

New Jersey 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?

$162

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $115 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 5 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$162$132 to $200
FacilityA hospital or hospital-owned outpatient department$115$102 to $191

How much rates vary

Facilitymedian $115 · 10th to 90th $102 to $309Professionalmedian $162 · 10th to 90th $117 to $302
$100$200$500$1Kfacility $115professional $162

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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$407.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$302.00

Where New Jersey 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 Jersey· 45th of 51

$162

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.