go back

Ankle-Foot Orthosis, Prefabricated

Illinois rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $155$1,4450%20%10th90th$372Professionalmedian $195 · 10th–90th $148$3090%20%10th90th$195$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
$154.88
Median
$154.88
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$426.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$363.08