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Ankle-Foot Orthosis, Spiral, Custom Fitted

Missouri 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?

$562

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $813 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 7 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$550$525 to $708
FacilityA hospital or hospital-owned outpatient department$813$589 to $1,023

How much rates vary

Facilitymedian $813 · 10th to 90th $525 to $1,778Professionalmedian $550 · 10th to 90th $457 to $1,202
$500$1K$2K$5Kfacility $813professional $550

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
$524.81
Median
$524.81
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$4,265.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$812.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$891.25

Where Missouri 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.

Missouri· 27th of 51

$562

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.