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.
Original text from hospital filings
AFO SPIRAL PREFAB CUSTOM
Low
$261
Average
$1.5k
Median
$1.4k
High
$4.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 387 | $1.0k | $1.2k | $620 | 53% | 1–10 | $1 – $6.2k |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 365 | $1.0k | $1.3k | $772 | 58% | — | $357 – $6.7k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 320 | $1.0k | $1.5k | $1.7k | 107% | — | $530 – $8.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 236 | $1.1k | $1.4k | $782 | 54% | — | $0 – $5.0k |
| 5 | WellCare fee schedule · outpatient · +11 other terms | 210 | $1.1k | $1.1k | $169 | 15% | — | $293 – $2.0k |
| 6 | Devoted fee schedule · outpatient · +7 other terms | 163 | $1.0k | $1.0k | $24 | 2% | — | $1.0k – $1.3k |
| 7 | Molina fee schedule · outpatient · +13 other terms | 144 | $1.5k | $1.4k | $539 | 39% | — | $699 – $2.7k |
| 8 | Cigna fee schedule · outpatient · +19 other terms | 118 | $1.1k | $1.6k | $767 | 49% | — | $639 – $6.4k |
| 9 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 116 | $1.1k | $1.1k | $37 | 3% | — | $1.0k – $1.3k |
| 10 | Anthem fee schedule · outpatient · +20 other terms | 89 | $1.0k | $1.4k | $1.1k | 82% | — | $287 – $7.7k |
| 11 | Kaiser fee schedule · outpatient · +12 other terms | 71 | $1.1k | $1.7k | $1.3k | 75% | — | $528 – $7.4k |
| 12 | Ambetter facility · fee schedule · outpatient · +11 other terms | 49 | $1.5k | $1.8k | $477 | 26% | — | $749 – $2.6k |
| 13 | Caresource fee schedule · outpatient · +9 other terms | 44 | $1.0k | $1.1k | $251 | 23% | — | $567 – $2.1k |
| 14 | Superior Healthplan fee schedule · outpatient · +3 other terms | 40 | $1.1k | $1.1k | $5 | 0% | — | $1.0k – $1.1k |
| 15 | Clover fee schedule · outpatient · +3 other terms | 37 | $1.0k | $1.0k | $55 | 5% | — | $988 – $1.2k |
| 16 | Oscar fee schedule · outpatient · +8 other terms | 36 | $1.1k | $1.2k | $254 | 21% | — | $1.0k – $1.7k |
| 17 | Optum fee schedule · outpatient · +11 other terms | 33 | $1.0k | $1.3k | $522 | 40% | — | $685 – $2.6k |
| 18 | Tricare facility · fee schedule · outpatient · +9 other terms | 26 | $1.0k | $1.0k | $24 | 2% | — | $907 – $1.0k |
| 19 | Medica facility · fee schedule · outpatient · +13 other terms | 23 | $1.1k | $972 | $247 | 25% | — | $344 – $1.7k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +7 other terms | 18 | $1.2k | $1.2k | $69 | 6% | — | $1.0k – $1.2k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $1.0k | $1.0k | $8 | 1% | — | $1.0k – $1.0k |
| 23 | Regence facility · fee schedule · outpatient · +6 other terms | 17 | $1.1k | $1.1k | $80 | 8% | — | $839 – $1.1k |
| 24 | MultiPlan fee schedule · outpatient · +13 other terms | 16 | $3.0k | $2.9k | $790 | 27% | — | $912 – $4.2k |
| 25 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $1.0k | $1.2k | $294 | 25% | — | $562 – $1.6k |
← Hospitals reporting HCPCS L1951 · Snapshot 20261111T120946Z-9134e7f7