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Ankle-Foot Orthosis, Single Upright with Stop

Missouri 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 $324 · 10th–90th $204$6920%20%10th90th$324Professionalmedian $240 · 10th–90th $182$4790%20%40%10th90th$240$0.5$2.0$10.0$50.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$380.19