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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Vermont rates for HCPCS L1900

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $115$2000%20%40%10th90th$191Professionalmedian $178 · 10th–90th $174$2240%20%40%10th90th$178$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$724.44