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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

Michigan rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Rates data updated October 2026.

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

$661

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $1,288 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$479 to $832
FacilityA hospital or hospital-owned outpatient department$1,288$550 to $2,344

How much rates vary

Facilitymedian $1,288 · 10th to 90th $550 to $3,631Professionalmedian $661 · 10th to 90th $398 to $851
$500$1K$2K$5Kfacility $1,288professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$831.76
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$239.88
Typical High
$416.87
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$97.72
Typical High
$165.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$72.44
Typical High
$125.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$47.86
Median
$47.86
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,454.71
Typical High
$4,677.35
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$831.76
Typical High
$831.76
CareSource
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$549.54
Typical High
$977.24
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$1,621.81
Typical High
$1,778.28
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$602.56
Typical High
$851.14
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Priority Health
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Priority Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$549.54
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$436.52
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$398.11
Typical High
$602.56

Where Michigan sits

The same service costs 2.4 times more in Iowa than in Delaware. 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.

Michigan· 17th of 51

$661

IA $955DE $398

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.