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Ankle-Foot Orthosis, Prefabricated

Montana 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?

$224

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $282 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$178$158 to $282
FacilityA hospital or hospital-owned outpatient department$282$229 to $302

How much rates vary

Facilitymedian $282 · 10th to 90th $186 to $363Professionalmedian $178 · 10th to 90th $132 to $355
$100$200$500$1Kfacility $282professional $178

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$302.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$549.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$204.17

Where Montana 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.

Montana· 10th of 51

$224

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.