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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 July 2026.

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

$75.86

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $57.54 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 6 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$75.86$51.29 to $105
FacilityA hospital or hospital-owned outpatient department$57.54$28.84 to $102

How much rates vary

Facilitymedian $58 · 10th to 90th $29 to $105Professionalmedian $76 · 10th to 90th $46 to $158
$50$100$200facility $58professional $76

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$74.13
Typical High
$102.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$338.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$104.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$218.78

Where Alaska sits

The same service costs 2.5 times more in Hawaii 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.

Alaska· 15th of 51

$75.86

HI $107DC $42.66

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.