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Ankle-Foot Orthosis, Single Upright with Stop

Tennessee 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 $309 · 10th–90th $195$2,1380%20%10th90th$309Professionalmedian $191 · 10th–90th $174$3310%50%10th90th$191$0.5$2.0$10.0$50.0$200.0$1.0K

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
$177.83
Median
$194.98
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$281.84