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Ankle Orthosis, Gauntlet, Off-the-Shelf

Iowa 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?

$64.57

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $74.13 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 8 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$63.10$53.70 to $87.10
FacilityA hospital or hospital-owned outpatient department$74.13$60.26 to $145

How much rates vary

Facilitymedian $74 · 10th to 90th $49 to $251Professionalmedian $63 · 10th to 90th $44 to $135
$50$100$200$500facility $74professional $63

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
$54.95
Median
$63.10
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$63.10
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$128.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$141.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$158.49
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$95.50

Where Iowa 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.

Iowa· 21st of 51

$64.57

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.