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Ankle Orthosis, Gauntlet, Off-the-Shelf

Florida 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 $49 · 10th–90th $40$1740%50%10th90th$49Professionalmedian $54 · 10th–90th $38$1100%20%10th90th$54$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$141.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
AvMed
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$57.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$56.23
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$41.69
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$93.33