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Ankle-Foot Orthosis, Prefabricated

Alaska rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $85$4070%20%40%10th90th$162Professionalmedian $178 · 10th–90th $151$5750%20%10th90th$178$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
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$407.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$954.99
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$426.58
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$177.83
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$1,047.13