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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

New Hampshire 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?

$427

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $646 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$389$309 to $562
FacilityA hospital or hospital-owned outpatient department$646$427 to $692

How much rates vary

Facilitymedian $646 · 10th to 90th $355 to $794Professionalmedian $389 · 10th to 90th $263 to $562
$200$500$1Kfacility $646professional $389

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
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$562.34
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$912.01

Where New Hampshire 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.

New Hampshire· 12th of 51

$427

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.