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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 October 2026.

How much does Ankle-Foot Orthosis, Spring Wire, Custom Fabricated cost?

$174

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $138 to $224.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $191 · 10th to 90th $126 to $263Professionalmedian $174 · 10th to 90th $138 to $295
$200$500$1Kfacility $191professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$269.15
Typical High
$724.44

Where Vermont sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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.

Vermont· 41st of 51

$174

HI $372DE $138

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.