go back

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.

Facilitymedian $245 · 10th–90th $148$2570%20%40%10th90th$245Professionalmedian $257 · 10th–90th $245$3020%50%10th90th$257$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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