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Ankle-Foot Orthosis, Multiligamentous Support, Off-the-Shelf

Montana rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $91$3470%20%10th90th$178Professionalmedian $115 · 10th–90th $71$2190%20%10th90th$115$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$190.55
Typical High
$190.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$346.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$102.33