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Ankle-Foot Orthosis, Single Upright with Stop

Kansas 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 $324 · 10th–90th $126$4270%20%10th90th$324Professionalmedian $380 · 10th–90th $195$3800%50%10th$380$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
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
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
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$302.00