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See a sample rate comparisonHCPCS L1945 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Ankle foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom-fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Ankle-foot Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L1945 |
National average reimbursement for HCPCS L1945 by major payers:
$1,013.14
$639.49
$691.30
$1,575.06
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HCPCS L1945
5 of 25 sample ratesHigher to lower in this preview
Union County Hospital Authority, Union General Hospital
Union County Hospital Authority
$919.64Published rateCity Of Hope National Medical Center
$694.97Published rateMichael Koch
Pathology Lab Of Georgia LLC
$520.28Published rateLower Oconee Community Hospital Inc
$501.01Published rateHospital Authority Of Jenkins County
$480.35Published rate
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See a sample payer proposalHCPCS L1945 vs. Other Ankle-foot Orthotics Codes
The HCPCS L1945 code is part of the Orthotic Procedures and services services used for Ankle-foot Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L1945 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L1940-HCPCS | Moderate | Ankle foot orthosis (AFO), plastic or other material, custom-fabricated |
| L1945-HCPCS | High | Ankle foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom-fabricated |
| L1950-HCPCS | Moderate | Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic, custom-fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1945 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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