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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.

Facilitymedian $380 · 10th–90th $135$6030%20%10th90th$380Professionalmedian $251 · 10th–90th $135$3720%20%10th90th$251$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$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