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Ankle-Foot Orthosis, Prefabricated

Wisconsin rates for HCPCS L1930

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

Rates data updated July 2026.

Facilitymedian $309 · 10th–90th $209$6310%20%40%10th90th$309Professionalmedian $288 · 10th–90th $129$5130%20%10th90th$288$0.2$1.0$5.0$20.0$100.0$500.0

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
$154.88
Median
$154.88
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$707.95
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$446.68
Typical High
$588.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$380.19
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$302.00
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$169.82
Network Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Network Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$602.56
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$380.19
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$794.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$630.96
Typical High
$1,445.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$457.09
Typical High
$1,905.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$354.81