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Nationwide rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Facilitymedian $76 · 10th–90th $42$2240%20%10th90th$76Professionalmedian $65 · 10th–90th $43$1580%20%40%10th90th$65$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $104.71