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Ankle-Foot Orthosis, Prefabricated

Washington, DC rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $110$4370%50%90th$110Professionalmedian $110 · 10th–90th $110$1780%50%90th$110$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$186.21
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
$186.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$257.04