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Ankle-Foot Orthosis, Single Upright with Stop

South Carolina 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 $245 · 10th–90th $195$5620%20%10th90th$245Professionalmedian $204 · 10th–90th $178$3470%20%40%10th90th$204$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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$275.42