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Ankle Orthosis, Gauntlet, Off-the-Shelf

Nationwide rates for HCPCS L1902

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

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $44$2240%20%10th90th$76Professionalmedian $63 · 10th–90th $43$1290%20%40%10th90th$63$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
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$114.82