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Ankle Orthosis, Gauntlet, Off-the-Shelf

Illinois 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?

$66.07

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $75.86 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$64.57$51.29 to $85.11
FacilityA hospital or hospital-owned outpatient department$75.86$60.26 to $141

How much rates vary

Facilitymedian $76 · 10th to 90th $46 to $204Professionalmedian $65 · 10th to 90th $46 to $112
$50$100$200$500$1Kfacility $76professional $65

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
$45.71
Median
$66.07
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$79.43
Typical High
$154.88

Where Illinois 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.

Illinois· 20th of 51

$66.07

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.