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Ankle-Foot Orthosis, Single Upright with Stop

Nebraska 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 $398 · 10th–90th $195$2,0890%20%10th90th$398Professionalmedian $191 · 10th–90th $166$3630%20%40%10th90th$191$200.0$500.0$1.0K$2.0K

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$537.03
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,071.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$398.11
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$323.59