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Ankle-Foot Orthosis, Single Upright with Stop

Georgia 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 $398 · 10th–90th $186$1,4790%20%10th90th$398Professionalmedian $245 · 10th–90th $182$3890%20%10th90th$245$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$389.05