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Ankle-Foot Orthosis, Floor Reaction, Custom Fabricated

Illinois rates for HCPCS L1945

Ankle-foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Floor Reaction, Custom Fabricated cost?

$692

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,380 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$692$676 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,380$692 to $2,455

How much rates vary

Facilitymedian $1,380 · 10th to 90th $692 to $6,918Professionalmedian $692 · 10th to 90th $513 to $1,380
$500$1K$2K$5K$10Kfacility $1,380professional $692

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
$691.83
Median
$691.83
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,630.27
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,659.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,096.48
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,122.02

Where Illinois sits

The same service costs 3.3 times more in Hawaii than in Nebraska. 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.

Illinois· 21st of 51

$692

HI $1,585NE $479

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.