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Ankle-Foot Orthosis with Ankle Joint, Prefabricated

Rhode Island rates for HCPCS L1971

Ankle foot orthosis (AFO), plastic or other material with ankle joint, with or without dorsiflexion assist, 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 October 2026.

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

$324

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,023 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$275 to $363
FacilityA hospital or hospital-owned outpatient department$1,023$813 to $1,175

How much rates vary

Facilitymedian $1,023 · 10th to 90th $692 to $1,288Professionalmedian $324 · 10th to 90th $229 to $457
$200$500$1Kfacility $1,023professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$302.00
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,288.25
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$363.08
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$316.23
United
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$295.12
Typical High
$457.09

Where Rhode Island sits

The same service costs 2.6 times more in Montana 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.

Rhode Island· 27th of 51

$324

MT $589DE $229

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.