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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 October 2026.

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

$257

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $178 to $324.

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 $389Professionalmedian $257 · 10th to 90th $178 to $437
$200$500$1K$2Kfacility $245professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$257.04
Median
$257.04
Typical High
$263.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$389.05
Typical High
$1,047.13

Where Vermont sits

The same service costs 2.9 times more in Montana than in Delaware. 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· 21st of 51

$257

MT $513DE $178

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.