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See a sample rate comparisonHCPCS L1960 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Ankle-foot Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $731.79 median of the 7 states in the free preview · View Medicaid rates for L1960 |
National average reimbursement for HCPCS L1960 by major payers:
$547.38
$381.08
$406.49
$880.74
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HCPCS L1960
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,523.06Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$519.22Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$408.26Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$282.86Published rateChristopher Raio
Mercy Medical Center
$249.23Published rate
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See a sample payer proposalHCPCS L1960 vs. Other Ankle-foot Orthotics Codes
The HCPCS L1960 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 L1960 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 |
|---|---|---|
| L1951-HCPCS | Moderate | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L1960-HCPCS | Moderate | Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated |
| L1970-HCPCS | Moderate | Ankle foot orthosis (AFO), plastic with ankle joint, 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 L1960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1960 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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