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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.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$209

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $316 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$186$126 to $269
FacilityA hospital or hospital-owned outpatient department$316$209 to $331

How much rates vary

Facilitymedian $316 · 10th to 90th $174 to $380Professionalmedian $186 · 10th to 90th $120 to $269
$100$200$500facility $316professional $186

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
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

Where New Hampshire 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.

New Hampshire· 13th of 51

$209

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.