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Ankle-Foot Orthosis, Single Upright with Stop

New Jersey 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?

$209

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $245 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$209$166 to $427
FacilityA hospital or hospital-owned outpatient department$245$166 to $245

How much rates vary

Facilitymedian $245 · 10th to 90th $148 to $427Professionalmedian $209 · 10th to 90th $145 to $427
$200$500facility $245professional $209

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
$144.54
Median
$144.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$72.44
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$18.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$562.34
Typical High
$562.34
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$204.17
Typical High
$457.09
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$223.87
Typical High
$407.38

Where New Jersey 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.

New Jersey· 45th of 51

$209

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.