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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.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$282

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $537 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$234 to $490
FacilityA hospital or hospital-owned outpatient department$537$282 to $1,318

How much rates vary

Facilitymedian $537 · 10th to 90th $224 to $1,995Professionalmedian $282 · 10th to 90th $191 to $490
$10$100$1Kfacility $537professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Michigan sits

The same service costs 3.0 times more in Minnesota than in Washington, DC. 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· 17th of 51

$282

MN $490DC $162

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.