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Ankle-Foot Orthosis with Ankle Joint, Custom Fabricated

West Virginia rates for HCPCS L1970

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

Rates data updated July 2026.

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

$417

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $417 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$398$389 to $479
FacilityA hospital or hospital-owned outpatient department$417$417 to $417

How much rates vary

Facilitymedian $417 · 10th to 90th $417 to $1,259Professionalmedian $398 · 10th to 90th $331 to $575
$500.0$1.0K$2.0K$5.0Kfacility $417professional $398

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$4,466.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$660.69

Where West Virginia sits

The same service costs 2.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $417 · 46th of 51
HI $912DC $331

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.