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

Wisconsin rates for HCPCS L1906

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

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $69$2510%50%10th90th$138Professionalmedian $129 · 10th–90th $63$2570%20%10th90th$129$0.1$0.5$2.0$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$316.23
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$199.53
Typical High
$263.03
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$169.82
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Network Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$169.82
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$134.90
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$407.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$281.84
Typical High
$741.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$204.17
Typical High
$1,318.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$309.03