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Ankle-Foot Orthosis, Posterior Single Bar, Prefabricated

Utah rates for HCPCS L1910

Ankle-foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $151 · 10th–90th $98$3020%20%40%10th90th$151Professionalmedian $182 · 10th–90th $98$1,7380%10%10th90th$182$50.0$100.0$200.0$500.0$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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$223.87
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$389.05
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$229.09