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Ankle-Foot Orthosis, Single Upright with Stop

New Hampshire 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.

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

$355

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $537 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$240 to $457
FacilityA hospital or hospital-owned outpatient department$537$355 to $575

How much rates vary

Facilitymedian $537 · 10th to 90th $295 to $646Professionalmedian $316 · 10th to 90th $182 to $457
$200$500$1Kfacility $537professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$457.09
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$741.31

Where New Hampshire sits

The same service costs 3.0 times more in Minnesota than in Washington, DC. 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.

New Hampshire· 12th of 51

$355

MN $490DC $162

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.