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Ankle-Foot Orthosis, Spiral, Custom Fitted

Maine rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

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

$603

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 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 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$603$537 to $871
FacilityA hospital or hospital-owned outpatient department$1,148$724 to $1,175

How much rates vary

Facilitymedian $1,148 · 10th to 90th $575 to $1,259Professionalmedian $603 · 10th to 90th $437 to $871
$500$1K$2Kfacility $1,148professional $603

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
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,047.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$851.14
Typical High
$870.96

Where Maine sits

The same service costs 2.5 times more in Wisconsin 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.

Maine· 19th of 51

$603

WI $1,023DC $407

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.