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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $309 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$182$151 to $209
FacilityA hospital or hospital-owned outpatient department$309$204 to $309

How much rates vary

Facilitymedian $309 · 10th to 90th $151 to $389Professionalmedian $182 · 10th to 90th $126 to $309
$100$200$500$1K$2K$5K$10Kfacility $309professional $182

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
$123.03
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$389.05
Sentara
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$891.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$245.47

Where Virginia 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.

Virginia· 30th 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.