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Ankle Orthosis, Gauntlet, Off-the-Shelf

Arkansas 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?

$63.10

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $301,995 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 7 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$61.66$43.65 to $66.07
FacilityA hospital or hospital-owned outpatient department$301,995$66.07 to $616,595

How much rates vary

Facilitymedian $301,995 · 10th to 90th $45 to $891,251Professionalmedian $62 · 10th to 90th $38 to $110
$100$1K$10K$100K$1Mfacility $301,995professional $62

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
$26.30
Median
$66.07
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$42.66
Typical High
$69.18
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$70.79

Where Arkansas 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.

Arkansas· 23rd of 51

$63.10

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.