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Ankle-Foot Orthosis, Single Upright with Stop

Vermont 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.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$257

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $257 to $282.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $148 to $257Professionalmedian $257 · 10th to 90th $245 to $302
$200$500$1Kfacility $245professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$1,047.13

Where Vermont sits

The same service costs 3.0 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 23rd of 51

$257

MN $490DC $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.