go back

Wisconsin rates for HCPCS L1900

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

Facilitymedian $347 · 10th–90th $282$6310%50%10th90th$347Professionalmedian $224 · 10th–90th $155$5250%20%10th90th$224$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $177.83 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $812.83 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $501.19 / $660.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $346.74 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $181.97 / $380.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $181.97
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $954.99
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $691.83 / $1,621.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $275.42 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $169.82 / $288.40