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Ankle-Foot Orthosis, Custom Fabricated

Georgia rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Custom Fabricated cost?

$380

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $741 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$380$295 to $501
FacilityA hospital or hospital-owned outpatient department$741$363 to $2,138

How much rates vary

Facilitymedian $741 · 10th to 90th $288 to $2,570Professionalmedian $380 · 10th to 90th $275 to $724
$200$500$1K$2Kfacility $741professional $380

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
$288.40
Median
$741.31
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,238.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$588.84

Where Georgia sits

The same service costs 3.7 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.

Georgia· 17th of 51

$380

HI $851DC $229

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.