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Ankle-Foot Orthosis, Prefabricated

Idaho rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $155$4070%20%40%10th90th$295Professionalmedian $200 · 10th–90th $110$3470%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
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$257.04
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$223.87
Typical High
$275.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$346.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$478.63
Select Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.21
Median
$154.88
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$190.55