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Ankle-Foot Orthosis, Prefabricated

New Mexico rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $1,288 · 10th–90th $132$4,3650%5%10th90th$1,288Professionalmedian $214 · 10th–90th $132$7590%10%20%10th90th$214$100.0$500.0$2.0K$10.0K$50.0K

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
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,754.23
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$257.04
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$199.53