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Ankle-Foot Orthosis, Single Upright with Stop

West Virginia 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?

$195

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$191 to $204
FacilityA hospital or hospital-owned outpatient department$204$204 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $204 to $537Professionalmedian $195 · 10th to 90th $162 to $251
$200$500$1K$2Kfacility $204professional $195

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
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$331.13

Where West Virginia 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.

West Virginia· 45th of 51

$195

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.