Ankle-foot orthosis, plastic brace

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AFO PLASTIC

Payers reporting HCPCS L1930

Payer pricing summary

Low

Average

$343

Median

$276

High

$2.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	439	$304	$396	$998	252%	—	$1 – $17.3k
2	Aetna fee schedule · outpatient · +27 other terms	399	$310	$417	$306	73%	—	$1 – $2.3k
3	Humana fee schedule · outpatient · +24 other terms	345	$291	$442	$547	124%	—	$1 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	269	$355	$421	$315	75%	—	$0 – $4.3k
5	WellCare fee schedule · outpatient · +14 other terms	219	$324	$340	$55	16%	—	$67 – $530
6	Devoted fee schedule · outpatient · +11 other terms	162	$297	$336	$40	12%	—	$272 – $388
7	Molina fee schedule · outpatient · +18 other terms	155	$398	$395	$186	47%	—	$1 – $950
8	Cigna fee schedule · outpatient · +24 other terms	142	$324	$488	$927	190%	—	$17 – $17.8k
9	Anthem fee schedule · outpatient · +21 other terms	118	$291	$373	$430	115%	—	$16 – $2.3k
10	Cigna Healthspring fee schedule · outpatient · +5 other terms	116	$291	$338	$36	11%	—	$272 – $373
11	Kaiser fee schedule · outpatient · +18 other terms	98	$303	$690	$551	80%	—	$23 – $2.3k
12	Ambetter facility · fee schedule · outpatient · +16 other terms	65	$507	$491	$149	30%	—	$9 – $680
13	MultiPlan fee schedule · outpatient · +18 other terms	57	$731	$610	$575	94%	—	$39 – $1.8k
14	Caresource fee schedule · outpatient · +14 other terms	50	$276	$298	$49	16%	—	$1 – $478
15	Tricare facility · fee schedule · outpatient · +12 other terms	46	$267	$258	$84	32%	—	$14 – $362
16	Clover fee schedule · outpatient · +4 other terms	40	$276	$296	$44	15%	—	$267 – $381
17	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$381	$380	$2	0%	—	$355 – $381
18	Optum fee schedule · outpatient · +13 other terms	37	$285	$430	$248	58%	—	$25 – $1.1k
19	Oscar fee schedule · outpatient · +11 other terms	36	$355	$383	$103	27%	—	$285 – $616
20	Medica facility · fee schedule · outpatient · +15 other terms	33	$304	$251	$106	42%	—	$21 – $529
21	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$127	$94	$114	121%	—	$45 – $561
22	Medicare fee schedule · outpatient · +8 other terms	25	$285	$287	$16	5%	—	$267 – $362
23	Highmark facility · fee schedule · outpatient · +10 other terms	22	$499	$674	$446	66%	—	$261 – $2.2k
24	First Health fee schedule · outpatient · +16 other terms	20	$682	$717	$407	57%	—	$55 – $1.6k
25	Regence fee schedule · outpatient · +10 other terms	20	$304	$314	$72	23%	—	$26 – $1.0k

Page 1 of 3 · 63 payers