Ankle foot orthosis, 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 cost in Indiana
$969
Cash from
$969–$2,043
Cash range · 10 distinct prices
$565
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Tipton Hospital Inc. | Tipton | $1,720 | $565 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $1,296 | $565 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $1,141 | $565 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $1,296 | $565 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $1,304 | $565 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $1,844 | $565 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $2,043 | $565 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,424 | $565 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $1,296 | $565 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $1,752 | $565 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $969 | $565 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $1,124 | $565 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterAFO w/ankle joint, prefab
- Berger HospitalAFO w/ankle joint, prefab
- Bethesda Hospital Inc.AFO w/ankle joint, prefab
- Clinton Memorial HospitalAFO w/ankle joint, prefab
- Dayton Osteopathic HospitalAFO w/ankle joint, prefab
- Fairview HospitalAfo w/ankle joint, prefab
- Fort Hamilton HospitalAFO w/ankle joint, prefab
- Greene Memorial Hospital IncAFO w/ankle joint, prefab
- HEART HOSP OF AUSTINAnkle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKAnkle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.