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Ankle-Foot Orthosis, Spiral, Custom Fabricated

Pennsylvania 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?

$437

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $1,148 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$437$380 to $562
FacilityA hospital or hospital-owned outpatient department$1,148$363 to $1,585

How much rates vary

Facilitymedian $1,148 · 10th to 90th $363 to $4,266Professionalmedian $437 · 10th to 90th $363 to $759
$500$1K$2K$5K$10K$20K$50Kfacility $1,148professional $437

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
$363.08
Median
$363.08
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$724.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,187.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$891.25
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$758.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$5,128.61
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$977.24

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$437

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.