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Ankle-Foot Orthosis, Single Upright with Stop

Massachusetts 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 $302 · 10th–90th $229$2,1380%20%10th90th$302Professionalmedian $427 · 10th–90th $204$6920%20%10th90th$427$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$724.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$2,137.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$691.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$2,137.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$457.09