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Ankle-Foot Orthosis, Single Upright with Stop

Rhode Island 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 $871 · 10th–90th $245$1,2020%10%10th90th$871Professionalmedian $282 · 10th–90th $229$3390%20%10th90th$282$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$436.52