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Ankle-Foot Orthosis, Prefabricated

Maine 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?

$174

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $324 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 6 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$170$155 to $269
FacilityA hospital or hospital-owned outpatient department$324$186 to $363

How much rates vary

Facilitymedian $324 · 10th to 90th $170 to $389Professionalmedian $170 · 10th to 90th $126 to $269
$100$200$500facility $324professional $170

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$213.80
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$269.15

Where Maine 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.

Maine· 22nd of 51

$174

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.