go back

Ankle Orthosis, Gauntlet, Off-the-Shelf

Kansas 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 $78 · 10th–90th $29$980%20%10th90th$78Professionalmedian $93 · 10th–90th $45$930%50%10th$93$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
$56.23
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
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
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$69.18
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$77.62
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$83.18