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Ankle-Foot Orthosis, Prefabricated

Missouri rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $158$5250%20%10th90th$257Professionalmedian $170 · 10th–90th $129$3720%20%40%10th90th$170$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
$162.18
Median
$162.18
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$269.15