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Ankle-Foot Orthosis, Prefabricated

Rhode Island 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?

$182

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $562 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$155 to $200
FacilityA hospital or hospital-owned outpatient department$562$447 to $646

How much rates vary

Facilitymedian $562 · 10th to 90th $363 to $708Professionalmedian $182 · 10th to 90th $129 to $257
$100$200$500facility $562professional $182

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
Professional
Modifier
None
Typical Low
$158.49
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$18.20
Typical High
$18.20
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$707.95
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$199.53
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$257.04

Where Rhode Island 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.

Rhode Island· 25th of 51

$182

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.