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Ankle-Foot Orthosis, Single Upright with Stop

Michigan 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?

$407

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $646 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$282 to $490
FacilityA hospital or hospital-owned outpatient department$646$245 to $1,413

How much rates vary

Facilitymedian $646 · 10th to 90th $245 to $2,138Professionalmedian $398 · 10th to 90th $229 to $501
$200$500$1K$2K$5Kfacility $646professional $398

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
$288.40
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$100.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$42.66
Median
$42.66
Typical High
$74.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$48.98
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,479.11
Typical High
$2,754.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$489.78
CareSource
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
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
$245.47
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$954.99
Typical High
$1,047.13
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$389.05
Typical High
$501.19
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Priority Health
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Priority Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$245.47
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$204.17
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$234.42
Typical High
$316.23

Where Michigan 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.

Michigan· 9th of 51

$407

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.