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Ankle-Foot Orthosis, Prefabricated

Iowa rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $224 · 10th–90th $155$7590%10%20%10th90th$224Professionalmedian $200 · 10th–90th $117$4070%10%20%10th90th$200$0.2$1.0$5.0$20.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$436.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$416.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$524.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$338.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$309.03