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Ankle-Foot Orthosis, Custom Fabricated

Michigan 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?

$355

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $1,000 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$339$316 to $562
FacilityA hospital or hospital-owned outpatient department$1,000$759 to $1,122

How much rates vary

Facilitymedian $1,000 · 10th to 90th $339 to $1,778Professionalmedian $339 · 10th to 90th $269 to $589
$200$500$1K$2K$5Kfacility $1,000professional $339

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
$338.84
Median
$1,000.00
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,778.28
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$616.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$691.83
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,122.02
Typical High
$1,258.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$724.44
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$478.63
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$426.58

Where Michigan 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.

Michigan· 25th of 51

$355

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.