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Ankle-Foot Orthosis, Single Upright with Stop

North Carolina 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 $347 · 10th–90th $174$7760%10%20%10th90th$347Professionalmedian $302 · 10th–90th $178$3470%20%40%10th90th$302$0.5$5.0$50.0$500.0$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
$169.82
Median
$346.74
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$346.74
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,162.28