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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.

Facilitymedian $282 · 10th–90th $186$3630%20%40%10th90th$282Professionalmedian $178 · 10th–90th $132$3550%20%10th90th$178$100.0$200.0$500.0$1.0K

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
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