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Ankle Orthosis, Gauntlet, Off-the-Shelf

Connecticut 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?

$54.95

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 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$54.95$47.86 to $77.62
FacilityA hospital or hospital-owned outpatient department$57.54$51.29 to $97.72

How much rates vary

Facilitymedian $58 · 10th to 90th $44 to $115Professionalmedian $55 · 10th to 90th $43 to $126
$50.0$100.0$200.0$500.0facility $58professional $55

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$125.89
Health New England
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Health New England
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$125.89
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$91.20

Where Connecticut sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $54.95 · 40th of 51
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.