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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 July 2026.

Facilitymedian $148 · 10th–90th $145$4270%50%10th90th$148Professionalmedian $209 · 10th–90th $162$4170%10%20%10th90th$209$200.0$500.0$1.0K

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$562.34
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$407.38