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Ankle-Foot Orthosis, Single Upright with Stop

Louisiana rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$234

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $537 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$178 to $295
FacilityA hospital or hospital-owned outpatient department$537$316 to $661

How much rates vary

Facilitymedian $537 · 10th to 90th $245 to $813Professionalmedian $219 · 10th to 90th $178 to $295
$200$500$1Kfacility $537professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$234.42
Typical High
$257.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$117.49
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$46.77
Typical High
$51.29
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.11
Median
$35.48
Typical High
$38.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.88
Median
$23.44
Typical High
$25.70
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$616.60
Typical High
$870.96
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$190.55
Typical High
$281.84

Where Louisiana sits

The same service costs 2.9 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 39th of 51

$234

MT $513DE $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.