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Ankle-Foot Orthosis, Single Upright with Stop

Idaho 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 $468 · 10th–90th $204$6310%20%40%10th90th$468Professionalmedian $363 · 10th–90th $162$5620%10%20%10th90th$363$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
$302.00
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$398.11
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$363.08
Typical High
$446.68
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$562.34
Select Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$213.80
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$281.84