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Ankle-Foot Orthosis, Prefabricated

New Hampshire 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 $174$3800%20%40%10th90th$316Professionalmedian $186 · 10th–90th $120$2690%20%10th90th$186$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
$173.78
Median
$173.78
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
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
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$269.15
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$380.19