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Ankle-Foot Orthosis, Custom Fabricated

New Jersey 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?

$316

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $240 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 5 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$316$263 to $437
FacilityA hospital or hospital-owned outpatient department$240$240 to $372

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $724Professionalmedian $316 · 10th to 90th $240 to $708
$200$500$1K$2Kfacility $240professional $316

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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$954.99
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$691.83

Where New Jersey 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 Jersey· 38th of 51

$316

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.