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Ankle-Foot Orthosis, Floor Reaction, Custom Fabricated

New York 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?

$661

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $741 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 9 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$661$575 to $871
FacilityA hospital or hospital-owned outpatient department$741$631 to $1,096

How much rates vary

Facilitymedian $741 · 10th to 90th $457 to $1,660Professionalmedian $661 · 10th to 90th $457 to $1,585
$500$1K$2K$5K$10K$20K$50Kfacility $741professional $661

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
$354.81
Median
$645.65
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$2,137.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,819.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$870.96
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$831.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,737.80
Typical High
$4,073.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$2,041.74
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$1,737.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$645.65
Typical High
$776.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$741.31

Where New York 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.

New York· 28th of 51

$661

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.