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Ankle-Foot Orthosis, Prefabricated

Nebraska rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $316 · 10th–90th $132$1,4130%20%10th90th$316Professionalmedian $166 · 10th–90th $105$3390%50%10th90th$166$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
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$295.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$831.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$257.04