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Ankle-Foot Orthosis, Prefabricated

Virginia rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $132$3550%20%40%10th90th$269Professionalmedian $132 · 10th–90th $110$2510%20%40%10th90th$132$0.2$2.0$20.0$200.0$2.0K

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
$109.65
Median
$158.49
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$346.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$338.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$213.80