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Ankle-Foot Orthosis, Single Upright with Stop

Illinois 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 $501 · 10th–90th $257$2,5700%20%10th90th$501Professionalmedian $275 · 10th–90th $191$4900%20%10th90th$275$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
$257.04
Median
$257.04
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$436.52
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$575.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$407.38
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$426.58