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Ankle-Foot Orthosis, Custom Fabricated

Iowa 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?

$389

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $468 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 8 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$389$295 to $562
FacilityA hospital or hospital-owned outpatient department$468$380 to $891

How much rates vary

Facilitymedian $468 · 10th to 90th $275 to $1,549Professionalmedian $389 · 10th to 90th $263 to $794
$200$500$1K$2Kfacility $468professional $389

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
$269.15
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$870.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,023.29
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$467.74
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$616.60

Where Iowa 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.

Iowa· 15th of 51

$389

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.