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Ankle-Foot Orthosis, Spiral, Custom Fitted

West Virginia 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?

$490

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $513 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 5 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$490$479 to $513
FacilityA hospital or hospital-owned outpatient department$513$513 to $513

How much rates vary

Facilitymedian $513 · 10th to 90th $513 to $1,380Professionalmedian $490 · 10th to 90th $407 to $708
$500$1K$2K$5Kfacility $513professional $490

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
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,380.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$4,897.79
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$812.83

Where West Virginia 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.

West Virginia· 45th of 51

$490

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.