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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.

Facilitymedian $537 · 10th–90th $295$6460%20%10th90th$537Professionalmedian $316 · 10th–90th $182$4570%20%10th90th$316$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
$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