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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Oregon rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $251$3390%50%10th90th$324Professionalmedian $245 · 10th–90th $138$3800%10%20%10th90th$245$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$239.88
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
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$676.08
Typical High
$812.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$380.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$338.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$295.12
Typical High
$354.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$151.36
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$288.40