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Ankle-Foot Orthosis, Prefabricated

Utah 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?

$178

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $132 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 7 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$178$158 to $275
FacilityA hospital or hospital-owned outpatient department$132$85.11 to $288

How much rates vary

Facilitymedian $132 · 10th to 90th $85 to $288Professionalmedian $178 · 10th to 90th $102 to $759
$100$200$500$1Kfacility $132professional $178

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$1,548.82
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
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$275.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$346.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$295.12
Typical High
$316.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$204.17

Where Utah 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.

Utah· 19th of 51

$178

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.