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Ankle-Foot Orthosis, Prefabricated

Louisiana rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $166$6030%20%10th90th$275Professionalmedian $191 · 10th–90th $110$2510%20%10th90th$191$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
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$288.40
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$204.17