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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Ohio 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 Ohio, 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 $347 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 8 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$166 to $234
FacilityA hospital or hospital-owned outpatient department$347$282 to $380

How much rates vary

Facilitymedian $347 · 10th to 90th $186 to $537Professionalmedian $186 · 10th to 90th $138 to $363
$100$200$500$1Kfacility $347professional $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
$186.21
Median
$245.47
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$407.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$208.93
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$302.00
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$234.42

Where Ohio 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.

Ohio· 34th 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.