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Ankle-Foot Orthosis, Single Upright with Stop

Oklahoma 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 $204 · 10th–90th $186$4900%20%40%10th90th$204Professionalmedian $195 · 10th–90th $162$3550%20%40%10th90th$195$100.0$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
$186.21
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
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
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$331.13
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$281.84