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Ankle-Foot Orthosis, Custom Fabricated

West 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?

$275

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $288 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$275$269 to $288
FacilityA hospital or hospital-owned outpatient department$288$288 to $339

How much rates vary

Facilitymedian $288 · 10th to 90th $288 to $813Professionalmedian $275 · 10th to 90th $229 to $380
$200$500$1K$2Kfacility $288professional $275

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$812.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$3,162.28
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$467.74

Where West 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.

West Virginia· 46th of 51

$275

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.