go back

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.

Facilitymedian $204 · 10th–90th $204$5370%50%90th$204Professionalmedian $195 · 10th–90th $162$2510%20%40%10th90th$195$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
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