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Ankle-Foot Orthosis, Single Upright with Stop

Indiana 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 $240$5130%20%40%10th90th$501Professionalmedian $245 · 10th–90th $178$3550%20%40%10th90th$245$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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$588.84
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
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$346.74