# HCPCS L1930: Ankle-foot orthosis, plastic or other material, prefabricated

Medicare HCPCS L1930 pays $309.04 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $225.00 in Puerto Rico to $459.82 in Hawaii, a 104% spread.

Web page: https://www.med-reveal.com/rates/L1930-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $309.04 |
| National facility | $309.04 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $459.82 | $459.82 |
| Alaska | $430.04 | $430.04 |
| Arizona | $362.45 | $362.45 |
| Arkansas | $362.45 | $362.45 |
| California | $362.45 | $362.45 |
| Louisiana | $362.45 | $362.45 |
| Nevada | $362.45 | $362.45 |
| New Mexico | $362.45 | $362.45 |
| Oklahoma | $362.45 | $362.45 |
| Texas | $362.45 | $362.45 |
| Iowa | $317.73 | $317.73 |
| Kansas | $317.73 | $317.73 |
| Missouri | $317.73 | $317.73 |
| Nebraska | $317.73 | $317.73 |
| Idaho | $317.49 | $317.49 |
| Oregon | $317.49 | $317.49 |
| Washington | $317.49 | $317.49 |
| Connecticut | $313.72 | $313.72 |
| Maine | $313.72 | $313.72 |
| Massachusetts | $313.72 | $313.72 |
| New Hampshire | $313.72 | $313.72 |
| Rhode Island | $313.72 | $313.72 |
| Vermont | $313.72 | $313.72 |
| Illinois | $309.60 | $309.60 |
| Indiana | $309.60 | $309.60 |
| Michigan | $309.60 | $309.60 |
| Minnesota | $309.60 | $309.60 |
| Ohio | $309.60 | $309.60 |
| Wisconsin | $309.60 | $309.60 |
| Colorado | $296.70 | $296.70 |
| Montana | $296.70 | $296.70 |
| North Dakota | $296.70 | $296.70 |
| South Dakota | $296.70 | $296.70 |
| Utah | $296.70 | $296.70 |
| Wyoming | $296.70 | $296.70 |
| Alabama | $271.84 | $271.84 |
| Delaware | $271.84 | $271.84 |
| District of Columbia | $271.84 | $271.84 |
| Florida | $271.84 | $271.84 |
| Georgia | $271.84 | $271.84 |
| Kentucky | $271.84 | $271.84 |
| Maryland | $271.84 | $271.84 |
| Mississippi | $271.84 | $271.84 |
| New Jersey | $271.84 | $271.84 |
| New York | $271.84 | $271.84 |
| North Carolina | $271.84 | $271.84 |
| Pennsylvania | $271.84 | $271.84 |
| South Carolina | $271.84 | $271.84 |
| Tennessee | $271.84 | $271.84 |
| Virgin Islands | $271.84 | $271.84 |
| Virginia | $271.84 | $271.84 |
| West Virginia | $271.84 | $271.84 |
| Puerto Rico | $225.00 | $225.00 |

## Related codes

- L0112: Cranial cervical orthosis, congenital torticollis type — https://www.med-reveal.com/rates/L0112-hcpcs-fee-schedule
- L0140: Cervical, semi-rigid, thermoplastic collar, molded to patient — https://www.med-reveal.com/rates/L0140-hcpcs-fee-schedule
- L0450: Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support — https://www.med-reveal.com/rates/L0450-hcpcs-fee-schedule
- L0500: Thoracic-lumbar-sacral orthosis (TLSO), rigid, custom fitted — https://www.med-reveal.com/rates/L0500-hcpcs-fee-schedule
- L0621: Sacroiliac orthosis, flexible, provides pelvic-sacral support — https://www.med-reveal.com/rates/L0621-hcpcs-fee-schedule
- L0630: Lumbar-sacral orthosis, sagittal control, rigid posterior panel — https://www.med-reveal.com/rates/L0630-hcpcs-fee-schedule
- L0810: Addition to halo procedure, cervical collar with attachment — https://www.med-reveal.com/rates/L0810-hcpcs-fee-schedule
- L1000: Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control — https://www.med-reveal.com/rates/L1000-hcpcs-fee-schedule

Commercial negotiated rates for L1930 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules