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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 July 2026.

Facilitymedian $331 · 10th–90th $219$7240%20%10th90th$331Professionalmedian $219 · 10th–90th $162$3160%20%10th90th$219$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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$331.13
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$281.84