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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.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$214

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $1,288 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$214$158 to $282
FacilityA hospital or hospital-owned outpatient department$1,288$263 to $2,884

How much rates vary

Facilitymedian $1,288 · 10th to 90th $132 to $4,365Professionalmedian $214 · 10th to 90th $132 to $759
$100$1K$10Kfacility $1,288professional $214

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
$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

Where New Mexico 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 Mexico· 11th of 51

$214

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.