Custom-made ankle-foot orthosis

EMDN Y06120601 · HCPCS L1960 · LPP 2727717

A plastic ankle-foot orthosis without ankle joint, made on a cast, that holds the foot up.

EMDN code Y06120601: PASSIVE ANKLE-FOOT ORTHOSES [1].

Summary by system, in euros at the ECB rate of 9 October 2026 [2]
SystemComparabilityTotalIn euros
France Close match €335.78 €335.78
United States Close match US$679.46 €606.34
AustraliaNo code

France

Close match. The French code excludes the cast, which is billed separately. Source [3].

  1. 2727717 1 × €335.78 Reimbursement tariff, also the maximum price

    OI59Z01

    Full LPP designation, in French

    OI59Z01 Orthèse, releveur de pied sur moulage, moulage non compris. L'orthèse, releveur de pied, est réalisée sur moulage avec ou sans flexion plantaire dans un des matériaux figurant dans les spécifications techniques. Elle est délivrée exclusive-ment par les orthoprothésistes et les podo-orthésistes agréés. La prise en charge est subordonnée à la mention " sur moulage " inscrite sur la prescription médicale.

    LPP tariff (tarif de responsabilité), which is also the maximum sale price

United States

Close match. Source [4][5].

  1. L1960 1 × US$679.46 Reimbursement tariff

    Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated

    Median of 53 states, US$636.95 to US$1,522.87

    Medicare fee schedule amount; Medicare pays 80% of the lower of the actual charge and this amount

Show the amount in each state (L1960)
StateNon-ruralRural
AKUS$911.79
ALUS$636.95
ARUS$636.95
AZUS$849.26
CAUS$849.26
COUS$636.95
CTUS$849.26
DCUS$679.46
DEUS$679.46
FLUS$636.95
GAUS$636.95
HIUS$975.00
IAUS$636.95
IDUS$636.95
ILUS$761.80
INUS$761.80
KSUS$636.95
KYUS$636.95
LAUS$636.95
MAUS$849.26
MDUS$679.46
MEUS$849.26
MIUS$761.80
MNUS$761.80
MOUS$636.95
MSUS$636.95
MTUS$636.95
NCUS$636.95
NDUS$636.95
NEUS$636.95
NHUS$849.26
NJUS$849.26
NMUS$636.95
NVUS$849.26
NYUS$849.26
OHUS$761.80
OKUS$636.95
ORUS$636.95
PAUS$679.46
PRUS$1,522.87
RIUS$849.26
SCUS$636.95
SDUS$636.95
TNUS$636.95
TXUS$636.95
UTUS$636.95
VAUS$679.46
VIUS$849.26
VTUS$849.26
WAUS$636.95
WIUS$761.80
WVUS$679.46
WYUS$636.95

Australia

The Prescribed List covers devices used or implanted as part of hospital treatment. The Department of Health states that external devices, like prosthetic limbs, are not eligible to be listed. [6]

References

  1. European Commission. European Medical Device Nomenclature (EMDN), version 2026 [Internet]. Brussels: European Commission; 2026 [cited 2026 Oct 9]. Available from: https://webgate.ec.europa.eu/dyna2/emdn/
  2. European Central Bank. Euro foreign exchange reference rates, 9 October 2026 [Internet]. Frankfurt am Main: ECB; 2026 [cited 2026 Oct 9]. Available from: https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_rates/html/index.en.html
  3. Assurance Maladie. Liste des produits et prestations (LPP), version 905 [Internet]. Paris: Caisse nationale de l'assurance maladie; 2026 [updated 2026 Oct 8; cited 2026 Oct 9]. Available from: http://www.codage.ext.cnamts.fr/codif/tips/index.php?p_site=AMELI
  4. Centers for Medicare & Medicaid Services. DMEPOS fee schedule, October 2026 (DME26-D) [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule/dme26-d
  5. Centers for Medicare & Medicaid Services. October 2026 alpha-numeric HCPCS file [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update
  6. Department of Health, Disability and Ageing. Medical devices and human tissue products covered under private health insurance [Internet]. Canberra: Australian Government; [updated 2025 Mar 13; cited 2026 Oct 9]. Available from: https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/medical-devices-and-human-tissue-products-covered-under-private-health-insurance