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Ankle-Foot Orthosis, Custom Fabricated

Virginia 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?

$347

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $562 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$316$275 to $380
FacilityA hospital or hospital-owned outpatient department$562$372 to $562

How much rates vary

Facilitymedian $562 · 10th to 90th $275 to $724Professionalmedian $316 · 10th to 90th $251 to $562
$200$500$1K$2K$5K$10Kfacility $562professional $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
$229.09
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$707.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$446.68

Where Virginia 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.

Virginia· 28th of 51

$347

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.