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Ankle-Foot Orthosis, Spiral, Custom Fabricated

Ohio rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Rates data updated July 2026.

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

$513

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $955 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$501$457 to $646
FacilityA hospital or hospital-owned outpatient department$955$759 to $1,023

How much rates vary

Facilitymedian $955 · 10th to 90th $501 to $1,514Professionalmedian $501 · 10th to 90th $380 to $1,000
$500$1K$2Kfacility $955professional $501

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
$501.19
Median
$691.83
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$1,230.27
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$1,000.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$575.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,445.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$758.58
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$660.69

Where Ohio sits

The same service costs 3.6 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.

Ohio· 25th of 51

$513

HI $1,318DC $363

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.