go back

Ankle Orthosis, Gauntlet, Off-the-Shelf

Delaware 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 $51 · 10th–90th $0$580%50%10th90th$51Professionalmedian $48 · 10th–90th $43$870%50%10th90th$48$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$97.72
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
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$44.67
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$79.43