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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

New Mexico rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $224 · 10th–90th $98$3720%10%10th90th$224Professionalmedian $219 · 10th–90th $138$4070%20%10th90th$219$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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$275.42
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$229.09