go back

Ankle-Foot Orthosis, Posterior Single Bar, Prefabricated

Washington 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 $372 · 10th–90th $257$7410%20%10th90th$372Professionalmedian $316 · 10th–90th $158$6030%10%20%10th90th$316$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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$1,737.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$371.54
Typical High
$380.19
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$426.58
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$295.12
Typical High
$323.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$380.19
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$380.19
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$758.58
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$407.38
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$331.13
Typical High
$588.84