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Ankle-Foot Orthosis, Single Upright with Stop

Minnesota 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 $851 · 10th–90th $417$4,0740%20%10th90th$851Professionalmedian $490 · 10th–90th $275$5750%50%10th90th$490$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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$724.44
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$4,073.80
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$489.78
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$194.98
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$676.08