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Ankle-Foot Orthosis, Single Upright with Stop

Oregon 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 $490 · 10th–90th $380$5010%50%10th90th$490Professionalmedian $372 · 10th–90th $178$5620%10%10th90th$372$0.5$5.0$50.0$500.0$5.0K

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$346.74
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
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$870.96
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$562.34
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$501.19
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$194.98
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$371.54