go back

Ankle-Foot Orthosis, Single Upright with Stop

Montana 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 $479 · 10th–90th $302$6030%20%10th90th$479Professionalmedian $372 · 10th–90th $126$9330%10%10th90th$372$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
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$524.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$933.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$389.05
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$302.00