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Ankle-Foot Orthosis, Custom Fabricated

Montana 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?

$550

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $550 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 6 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$468$309 to $550
FacilityA hospital or hospital-owned outpatient department$550$468 to $676

How much rates vary

Facilitymedian $550 · 10th to 90th $372 to $1,622Professionalmedian $468 · 10th to 90th $251 to $603
$100$1K$10K$100Kfacility $550professional $468

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
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$588.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$426.58

Where Montana 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.

Montana· 6th of 51

$550

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.