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Ankle-Foot Orthosis, Custom Fabricated

New Hampshire 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?

$501

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $759 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$447$347 to $646
FacilityA hospital or hospital-owned outpatient department$759$501 to $813

How much rates vary

Facilitymedian $759 · 10th to 90th $417 to $933Professionalmedian $447 · 10th to 90th $309 to $646
$200$500$1Kfacility $759professional $447

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
$416.87
Median
$416.87
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$645.65
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,071.52

Where New Hampshire 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.

New Hampshire· 8th of 51

$501

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.