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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

New York 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?

$186

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $191 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 9 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$186$162 to $251
FacilityA hospital or hospital-owned outpatient department$191$174 to $316

How much rates vary

Facilitymedian $191 · 10th to 90th $132 to $468Professionalmedian $186 · 10th to 90th $132 to $457
$100$500$2K$10K$50Kfacility $191professional $186

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
$147.91
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$524.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$251.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$208.93
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$588.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$194.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$489.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$194.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$194.98

Where New York 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 York· 26th of 51

$186

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.