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Maryland rates for HCPCS L1920

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

Facilitymedian $204 · 10th–90th $132–$2950%20%10th90th$204Professionalmedian $204 · 10th–90th $162–$3470%10%20%10th90th$204$200.0$500.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $190.55 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $194.98 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $338.84