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Utah rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Facilitymedian $204 · 10th–90th $126–$4900%20%40%10th90th$204Professionalmedian $347 · 10th–90th $126–$1,7780%10%10th90th$347$50.0$100.0$200.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $275.42 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $363.08 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $501.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $316.23