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Ankle-Foot Orthosis, Single Upright with Stop

Colorado 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.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$257

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $355 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$182 to $275
FacilityA hospital or hospital-owned outpatient department$355$245 to $501

How much rates vary

Facilitymedian $355 · 10th to 90th $126 to $603Professionalmedian $257 · 10th to 90th $178 to $339
$200$500$1Kfacility $355professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$467.74
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
$407.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$363.08
Typical High
$575.44
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$1,071.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$295.12

Where Colorado sits

The same service costs 3.0 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 22nd of 51

$257

MN $490DC $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.