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Ankle-Foot Orthosis, Single Upright with Stop

New Mexico 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 $1,023 · 10th–90th $182$3,4670%5%10%10th90th$1,023Professionalmedian $234 · 10th–90th $166$7080%10%20%10th90th$234$100.0$500.0$2.0K$10.0K$50.0K

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
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,187.76
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$295.12