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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 October 2026.

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

$245

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $1,023 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$182 to $324
FacilityA hospital or hospital-owned outpatient department$1,023$245 to $2,188

How much rates vary

Facilitymedian $1,023 · 10th to 90th $126 to $3,162Professionalmedian $234 · 10th to 90th $178 to $407
$200$500$1K$2Kfacility $1,023professional $234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$309.03
Typical High
$309.03
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$2,089.30
Typical High
$3,388.44
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$323.59
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$407.38
Typical High
$616.60
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$245.47
Typical High
$316.23
Providence
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$194.98
Typical High
$295.12

Where New Mexico 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 Mexico· 27th of 51

$245

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.