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Ankle-Foot Orthosis, Single Upright with Stop

North Dakota rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$468

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $363 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$468$347 to $550
FacilityA hospital or hospital-owned outpatient department$363$363 to $363

How much rates vary

Facilitymedian $363 · 10th to 90th $245 to $1,072Professionalmedian $468 · 10th to 90th $200 to $575
$200$500$1K$2Kfacility $363professional $468

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$363.08
Typical High
$363.08
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$549.54
Typical High
$562.34
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$501.19
Median
$660.69
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$363.08
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$218.78
Typical High
$398.11

Where North Dakota sits

The same service costs 2.9 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 4th of 51

$468

MT $513DE $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.