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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 July 2026.

Facilitymedian $537 · 10th–90th $224$1,9950%10%20%10th90th$537Professionalmedian $282 · 10th–90th $191$4900%20%10th90th$282$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,479.11
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
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
$245.47
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$933.25
Typical High
$1,047.13
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$602.56
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$407.38
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$346.74