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Ankle-Foot Orthosis, Prefabricated

New Jersey rates for HCPCS L1930

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

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$132

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $178 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$110 to $269
FacilityA hospital or hospital-owned outpatient department$178$105 to $186

How much rates vary

Facilitymedian $178 · 10th to 90th $105 to $269Professionalmedian $132 · 10th to 90th $91 to $269
$100$200$500facility $178professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$104.71
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$57.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$18.20
Typical High
$23.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$13.49
Typical High
$17.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$9.12
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$354.81
Typical High
$354.81
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$186.21
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$263.03

Where New Jersey sits

The same service costs 3.5 times more in Hawaii than in Delaware. 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 Jersey· 48th of 51

$132

HI $457DE $129

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.