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Ankle-Foot Orthosis, Single Upright with Stop

Iowa 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 $363 · 10th–90th $195$1,0960%10%10th90th$363Professionalmedian $263 · 10th–90th $166$5750%10%20%10th90th$263$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
Facility
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$616.60
Midlands
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$398.11