go back

Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Oklahoma rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $170$4680%20%40%10th90th$186Professionalmedian $182 · 10th–90th $126$3390%20%40%10th90th$182$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
$177.83
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
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
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$218.78