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Ankle Orthosis, Gauntlet, Off-the-Shelf

Alaska rates for HCPCS L1902

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

Rates data updated October 2026.

How much does Ankle Orthosis, Gauntlet, Off-the-Shelf cost?

$102

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $95.50 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$102$81.28 to $105
FacilityA hospital or hospital-owned outpatient department$95.50$91.20 to $102

How much rates vary

Facilitymedian $95 · 10th to 90th $58 to $115Professionalmedian $102 · 10th to 90th $54 to $126
$50$100$200facility $95professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$91.20
Median
$91.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$91.20
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$102.33
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$102.33
Typical High
$128.82
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$104.71
Typical High
$107.15
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$95.50
Median
$104.71
Typical High
$104.71
Providence
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$64.57
Typical High
$131.83
Providence
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$60.26
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$245.47

Where Alaska sits

The same service costs 2.6 times more in Hawaii than in Delaware. 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.

Alaska· 3rd of 51

$102

HI $117DE $44.67

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.