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Ankle-Foot Orthosis, Single Upright with Stop

Alaska rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $126$4370%20%40%10th90th$240Professionalmedian $282 · 10th–90th $204$5010%20%10th90th$282$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$426.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$1,202.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$446.68
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$446.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$245.47
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$912.01