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

New Hampshire rates for HCPCS L1906

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $85$1910%10%20%10th90th$155Professionalmedian $91 · 10th–90th $63$1320%20%10th90th$91$50.0$100.0$200.0$500.0

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
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$87.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$131.83
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$190.55