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Ankle-Foot Orthosis, Posterior Single Bar, Prefabricated

Wisconsin 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 $347 · 10th–90th $251$6920%50%10th90th$347Professionalmedian $324 · 10th–90th $170$5750%20%10th90th$324$0.2$1.0$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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$794.33
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$501.19
Typical High
$645.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$426.58
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$169.82
Network Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$676.08
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$426.58
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$398.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$912.01
Quartz
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$691.83
Typical High
$1,621.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$512.86
Typical High
$2,187.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$309.03