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Ankle-Foot Orthosis, Single Upright with Stop

Mississippi 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 $302 · 10th–90th $195$5370%20%10th90th$302Professionalmedian $234 · 10th–90th $182$3720%10%20%10th90th$234$50.0$100.0$200.0$500.0$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
$234.42
Median
$234.42
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
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
$177.83
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$323.59
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$295.12