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Ankle-Foot Orthosis, Prefabricated

Massachusetts rates for HCPCS L1930

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

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$269

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$148 to $269
FacilityA hospital or hospital-owned outpatient department$380$295 to $468

How much rates vary

Facilitymedian $380 · 10th to 90th $135 to $603Professionalmedian $251 · 10th to 90th $135 to $372
$100$200$500$1K$2K$5Kfacility $380professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$426.58
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$1,737.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$208.93
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$407.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Health New England
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$1,737.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$269.15

Where Massachusetts sits

The same service costs 4.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 5th of 51

$269

HI $457DC $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.