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Ankle-Foot Orthosis, Single Upright with Stop

Arizona 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 $355 · 10th–90th $126$9120%10%10th90th$355Professionalmedian $209 · 10th–90th $162$4470%20%40%10th90th$209$0.5$2.0$10.0$50.0$200.0$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
$162.18
Median
$208.93
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$467.74
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$870.96
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
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$338.84
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$295.12