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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

Montana rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Double Upright, Solid Stirrup cost?

$490

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $490 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 6 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$417$263 to $501
FacilityA hospital or hospital-owned outpatient department$490$417 to $525

How much rates vary

Facilitymedian $490 · 10th to 90th $331 to $617Professionalmedian $417 · 10th to 90th $162 to $955
$100$200$500$1K$2Kfacility $490professional $417

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$524.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$954.99
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$954.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$380.19

Where Montana sits

The same service costs 4.6 times more in Hawaii 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.

Montana· 9th of 51

$490

HI $933DC $204

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.